Healthcare Provider Details

I. General information

NPI: 1003765223
Provider Name (Legal Business Name): FARWELL SURGICAL PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39180 FARWELL DR
FREMONT CA
94538-1000
US

IV. Provider business mailing address

39180 FARWELL DR
FREMONT CA
94538-1017
US

V. Phone/Fax

Practice location:
  • Phone: 510-304-6613
  • Fax:
Mailing address:
  • Phone: 510-304-6613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BASIL RASHAD BESH
Title or Position: MD
Credential:
Phone: 510-857-1000