Temecula Ca United Surgery Center LP

Organization Active NPI Anesthesiology Physician · Temecula, CA

NPI 1013376482 · NPPES record last updated Apr 22, 2016

Key facts

NPI
1013376482
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
TEMECULA CA UNITED SURGERY CENTER LP
Practice address
31469 Rancho Pueblo Rd
Suite 100
Temecula, CA 92592-4834
Phone
(951) 303-6890
NPI assigned
Feb 15, 2016
Organization subpart
No

Authorized official

Name
Mr. Phillip C Clendenin
Title
President
Phone
(615) 240-3820

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150831003140 CA Part B Supplier - Ambulatory Surgical Center 9436465853 Receives reassigned benefits from 40 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Temecula, CA

National Provider Directory

Tax ID family
Temecula Ca United Surgery Center LP (2 organizations share this tax ID)

Locations

31469 Rancho Pueblo Rd
Ste 100
Temecula, CA 92592
Phone (951) 249-5540

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207L00000X Yes

Addresses

Primary practice location

31469 Rancho Pueblo Rd
Suite 100
Temecula, CA 92592-4834

Mailing address

1A Burton Hills Blvd
Nashville, TN 37215-6187
Phone (615) 665-1283

Other names

  • United Surgery Center - Temecula Doing business as

Other providers in Temecula, CA

All providers in Temecula, CA · Anesthesiology Physician in California

Sources for this page

Verify at the official NPI Registry.