Premier Outpatient Surgery Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

240000827 Issued in CA

Legal business name

PREMIER OUTPATIENT SURGERY CENTER, INC.

Practice address

900 E Washington St
Ste 155
Colton, CA 92324-4196

Phone

(909) 370-2190

Fax

(909) 370-2266

NPI assigned

Jun 17, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David Wood, M.D.

Title

President

Phone

(909) 370-2190

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1033114764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E WASHINGTON ST",
            "address_2": "STE 155",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244196",
            "telephone_number": "909-370-2190",
            "fax_number": "909-370-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E WASHINGTON ST",
            "address_2": "STE 155",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244196",
            "telephone_number": "909-370-2190",
            "fax_number": "909-370-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER OUTPATIENT SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-370-2190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "240000827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01516F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angeli Joy Balagtas Poyaoan
• Richard Lewis Preci, D.O
• Precision Care Hospice
• Premier Medical Equipment & Supply, Inc.
• Premier Medical Transportation Inc.
• Premier Surgery Center, Inc.
• Yvonne Prempeh
• O'Neil Presuel
• Primary Critical Care Limited Partnership
• Prime Choice Health Care Hospice Inc

• Ambulatory Surgical Clinic/Center in Colton, CA
• Providers in Colton, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.