Pacific Crest Multi Specialty Surgery, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PACIFIC CREST MULTI SPECIALTY SURGERY, INC.

Practice address

1601 Pacific Coast Hwy Ste 150
Hermosa Beach, CA 90254-3259

Phone

(310) 571-9923

Fax

(310) 861-5001

NPI assigned

Jan 14, 2022

Organization subpart

No

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

Authorized official

Name

Brendan Bakir, CEO

Title

Ceo

Phone

(310) 748-8800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1114678752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 PACIFIC COAST HWY STE 150",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543259",
            "telephone_number": "310-571-9923",
            "fax_number": "310-861-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 PACIFIC COAST HWY STE 150",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543259",
            "telephone_number": "310-571-9923",
            "fax_number": "310-861-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CREST MULTI SPECIALTY SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "BAKIR",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-748-8800",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Hermosa Beach, CA
• Providers in Hermosa Beach, 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 Jan 14, 2022; 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.