Provider Demographics
NPI:1881662856
Name:SILICON VALLEY SURGERY CENTER, LP
Entity Type:Organization
Organization Name:SILICON VALLEY SURGERY CENTER, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:SWINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-789-2877
Mailing Address - Street 1:14601 S BASCOM AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2043
Mailing Address - Country:US
Mailing Address - Phone:408-402-0663
Mailing Address - Fax:408-402-0763
Practice Address - Street 1:14601 S BASCOM AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2043
Practice Address - Country:US
Practice Address - Phone:408-402-0663
Practice Address - Fax:408-402-0763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA070000480261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASUR01465FMedicaid
CA05-C0001465Medicare ID - Type Unspecified