Organization Active NPI

Pinnacle Surgical Associates

  • Surgery Physician
  • Merced, CA
National Provider Identifier
1164901302
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PINNACLE SURGICAL ASSOCIATES
Practice address
3175 Collins Dr
Merced, CA 95348-3133
Phone
(209) 740-4686
Fax
(209) 740-4717
NPI assigned
Aug 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Andrea French, MDNPI 1750551792
Title
Owner
Phone
(408) 893-8922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3175 Collins Dr
Merced, CA 95348-3133

Mailing address

3175 Collins Dr
Merced, CA 95348-3133
Phone (209) 740-4686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190130001270 CA Part B Supplier - Clinic/Group Practice 0345587283 Receives reassigned benefits from 1 practitioner
Practice locations: Merced, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1164901302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 COLLINS DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483133",
            "telephone_number": "209-740-4686",
            "fax_number": "209-740-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 COLLINS DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483133",
            "telephone_number": "209-740-4686",
            "fax_number": "209-740-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-893-8922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.