Organization Active NPI

Pacific Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Huntington Beach, CA
National Provider Identifier
1013421445
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PACIFIC SURGICAL CENTER
Practice address
17672 Beach Blvd
Suite B
Huntington Beach, CA 92647
Phone
(714) 566-5240
Fax
(888) 977-3286
NPI assigned
Nov 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Artis Woodward, MD
Title
Owner
Phone
(714) 566-5240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

17672 Beach Blvd
Suite B
Huntington Beach, CA 92647

Mailing address

17672 Beach Blvd Ste B
Huntington Beach, CA 92647-6836
Phone (714) 566-5240

National Provider Directory

National Provider Directory
Tax ID family
Pacific Surgical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1013421445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17672 BEACH BLVD STE B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476836",
            "telephone_number": "714-566-5240",
            "fax_number": "888-977-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17672 BEACH BLVD",
            "address_2": "SUITE B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92647",
            "telephone_number": "714-566-5240",
            "fax_number": "888-977-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "ARTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-566-5240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.