NPIMap

Organization Active NPI

Pacific Surgical Institute

  • Ambulatory Surgical Clinic/Center
  • Encinitas, CA
National Provider Identifier
1184870909
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
50704 Issued in CA
Legal business name
PACIFIC SURGICAL INSTITUTE
Practice address
355 Santa Fe Dr
Suite 100
Encinitas, CA 92024-5132
Phone
(760) 753-5300
Fax
(760) 753-9468
NPI assigned
Aug 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Suzanne U McCormick, DDSNPI 1962554428
Title
President
Phone
(760) 753-5300

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
Ambulatory Surgical Clinic/Center 261QA1903X 50704 CA Primary

Addresses

Primary practice location

355 Santa Fe Dr
Suite 100
Encinitas, CA 92024-5132

Mailing address

355 Santa Fe Dr
Suite 100
Encinitas, CA 92024-5132
Phone (760) 753-5300

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": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1184870909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 SANTA FE DR",
            "address_2": "SUITE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245132",
            "telephone_number": "760-753-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 SANTA FE DR",
            "address_2": "SUITE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245132",
            "telephone_number": "760-753-5300",
            "fax_number": "760-753-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SURGICAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-753-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "50704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.