Organization Active NPI

Precision Surgical Institute Inc

  • Ambulatory Surgical Clinic/Center
  • Upland, CA
National Provider Identifier
1093404139
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PRECISION SURGICAL INSTITUTE INC
Practice address
330 E 7TH St FL 3
Upland, CA 91786-6740
Phone
(909) 352-5560
Fax
(909) 352-5552
NPI assigned
May 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Diane Carrasco
Title
Office Manager
Phone
(714) 850-2060

Specialties & licenses 1

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

Addresses

Primary practice location

330 E 7TH St FL 3
Upland, CA 91786-6740

Mailing address

330 E 7TH St FL 3
Upland, CA 91786-6740
Phone (909) 931-3800

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2324736Precision Surgical Institute330 E 7TH St 3Rd Floor, Upland, CA 91786Certificate of waiverMay 29, 2027

National Provider Directory

National Provider Directory

Locations

330 E 7th St
Fl 3
Upland, CA 91786
Phone (909) 352-5560

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1093404139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 7TH ST FL 3",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866740",
            "telephone_number": "909-931-3800",
            "fax_number": "909-931-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E 7TH ST FL 3",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866740",
            "telephone_number": "909-352-5560",
            "fax_number": "909-352-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SURGICAL INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-850-2060"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.