Active NPI
Pacific Coast Plastic Surgery Center, Inc
- Ambulatory Surgical Clinic/Center
- Santa Monica, CA
National Provider Identifier
1124107073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PACIFIC COAST PLASTIC SURGERY CENTER, INC
- Practice address
- 1301 20TH St
Suite #450
Santa Monica, CA 90404-2050 - Phone
- (310) 453-2733
- Fax
- (310) 828-3733
- NPI assigned
- Nov 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Francis McGuire, M.D.
- Title
- Director
- Phone
- (310) 453-2733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | CA | Primary |
Addresses
Primary practice location
1301 20TH St
Suite #450
Santa Monica, CA 90404-2050
Mailing address
1301 20TH St
Suite #450
Santa Monica, CA 90404-2050
Phone (310) 453-2733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EU954A | Other | CA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Ambulatory surgical center certification: CCN 05C0001142
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PACIFIC COAST PLASTIC SURGERY
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Mar 1, 1989
- Last certification
- Nov 7, 2017
- Ownership / control type
- Proprietary
- Facility address
- 1301 E 20TH St #450
Santa Monica, CA 90404
National Provider Directory
National Provider DirectoryLocations
1301 20th St
Ste 450
Santa Monica, CA 90404
Phone (310) 453-2733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1124107073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 20TH ST",
"address_2": "SUITE #450",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042050",
"telephone_number": "310-453-2733",
"fax_number": "310-828-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 20TH ST",
"address_2": "SUITE #450",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042050",
"telephone_number": "310-453-2733",
"fax_number": "310-828-3733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC COAST PLASTIC SURGERY CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MCGUIRE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "310-453-2733",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "EU954A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
- Sarah Ozer, PA-C
- Anthony Odion Ozigho, NP
- Sule Ozler, DR.
- Pacific Care Surgery Center LLC
- Pacific Coast Hospitalist PC
- Pacific Coast Women's Center
- Pacific Heart Institute
- Pacific Integrative Medical Center, Inc
- Pacific Integrative Medical Group Inc
- Pacific Marriage & Family Therapy Network, a Professional Corporation (Pacific MFT Network)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.