Victoria Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

000396 Issued in TX

Legal business name

VICTORIA SURGERY CENTER

Practice address

105 James Coleman Dr
Victoria, TX 77904-3100

Phone

(361) 578-0234

Fax

(361) 578-3812

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Lesley Michelle Alstrom

Title

Director of Operations

Phone

(361) 578-0234

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Victoria Surgery CenterCCN 45C0001221

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Theodore Boozalis, M.D.

  • Ophthalmology Physician
  • Victoria, TX
  • NPI 1972572840
  NPD

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1164480992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 JAMES COLEMAN DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043100",
            "telephone_number": "361-578-0234",
            "fax_number": "361-578-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 JAMES COLEMAN DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043100",
            "telephone_number": "361-578-0234",
            "fax_number": "361-578-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "ALSTROM",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "361-578-0234"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087939701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Psychiatric Associates, L.L.P.
• Victoria Radiology Associates
• Victoria Sleep Disorder Center, LP
• Victoria Spinal Care Center
• Victoria Sports Medicine, Bone, and Joint Institute, PA
• Victoria Surgical Associates, P.a.
• Victoria Testosterone Center PLLC
• Victoria Texas Home Care Services, LLC
• Victoria TX SNF Management LLC
• Victoria Vein & Surgery Clinic PLLC

• Ambulatory Surgical Clinic/Center in Victoria, TX
• Providers in Victoria, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.