Healthcare Provider Details

I. General information

NPI: 1043987167
Provider Name (Legal Business Name): NORTHERN SURGICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 08/26/2021
Certification Date: 08/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16360 MONTEREY RD STE 280
MORGAN HILL CA
95037-5496
US

IV. Provider business mailing address

16360 MONTEREY RD STE 280
MORGAN HILL CA
95037-5496
US

V. Phone/Fax

Practice location:
  • Phone: 408-825-1333
  • Fax: 408-825-1333
Mailing address:
  • Phone: 408-825-1333
  • Fax: 408-825-1333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW GUENTHART
Title or Position: OWNER
Credential: MD
Phone: 408-825-1333