Surgitek Outpatient Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGITEK OUTPATIENT CENTER INC

Practice address

460 N Greenfield
Suite #8
Hanford, CA 93230

Phone

(559) 582-0238

Fax

(559) 582-9341

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Wiley M Elick, DDS

Title

Owner Director President

Phone

(559) 582-0238

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1144309063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N GREENFIELD",
            "address_2": "SUITE #8",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "93230",
            "telephone_number": "559-582-0238",
            "fax_number": "559-582-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N GREENFIELD",
            "address_2": "SUITE #8",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "93230",
            "telephone_number": "559-582-0238",
            "fax_number": "559-582-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGITEK OUTPATIENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "ELICK",
        "authorized_official_first_name": "WILEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER DIRECTOR PRESIDENT",
        "authorized_official_telephone_number": "559-582-0238",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01347G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kira Jane Sudds
• Sudeep Singh M.D., Inc
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• Chase Brayden Summers, LCSW
• Angel S Suniga
• Suzanne L. Cardoza, O.D.
• Jasmine Swalef, APCC
• Canh Huu Ta, PHARMD
• Hannah Marie Taft
• Douglas Wayne Talk, M.D., M.P.H.

• Ambulatory Surgical Clinic/Center in Hanford, CA
• Providers in Hanford, 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 Oct 10, 2011; 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.