# WAVERLEY SURGERY CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Waverley Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619944824
- **Authorized official:** MR. JEFFREY SNODGRASS (PRESIDENT OF LLC)
- **Authorized official phone:** (615) 263-4011

## Contact information

- **Practice address:** 400 FOREST AVE, PALO ALTO, CA 94301-2608
- **Practice address phone:** (650) 324-0600
- **Practice address fax:** (650) 289-1620
- **Mailing address:** 1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6187
- **Mailing address phone:** (615) 240-3820
- **Mailing address fax:** (615) 234-1720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 220000472 | CA | Yes |

## Other

- **Enumeration date:** 03/07/2006
- **Last updated:** 10/19/2022