# FREMONT AMBULATORY SURGERY CENTER, LP

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851369284
- **Authorized official:** MR. JOHN MAZOROS (ADMINISTRATOR)
- **Authorized official phone:** (510) 456-4650

## Contact information

- **Practice address:** 39350 CIVIC CENTER DR SUITE 100, FREMONT, CA 94538-2331
- **Practice address phone:** (510) 456-4600
- **Practice address fax:** (510) 794-6822
- **Mailing address:** 39350 CIVIC CENTER DR STE 280, FREMONT, CA 94538-2331
- **Mailing address phone:** (510) 456-4600
- **Mailing address fax:** (510) 456-4601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 140000527 | CA | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 140000600 | CA | — |

## Other

- **Enumeration date:** 03/10/2006
- **Last updated:** 11/02/2017