Poway Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

POWAY SURGERY CENTER

Practice address

15525 Pomerado Rd
Suite E2
Poway, CA 92064-2435

Phone

(858) 521-0003

Fax

(858) 521-0144

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Laura Jean Harding

Title

Manager

Phone

(858) 521-0444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 050837

Legal name

POWAY SURGERY CENTER

Certification status

Terminated Voluntary: other reason for withdrawal, Mar 1, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Feb 19, 2021

Last certification

Feb 19, 2021

Beds

1

Ownership / control type

Private (for profit)

Facility address

15525 Pomerado Road, Suite E2
Poway, CA 92064

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194770727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD",
            "address_2": "SUITE E2",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642435",
            "telephone_number": "858-521-0003",
            "fax_number": "858-521-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD",
            "address_2": "SUITE E2",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642435",
            "telephone_number": "858-521-0003",
            "fax_number": "858-521-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWAY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-521-0444",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poway Gardens Memory Care LLC
• Poway Hospitalist Medical Group, Inc
• Poway Intensivist Medical Group, Inc
• Poway Medical Clinic, Incorporated
• Poway Pharmacy LLC
• Heather Preber, D.M.D.
• Precision Orthopedics and Sports Medicine
• Larry Alan Presant, MD
• Erica Price
• Junoria Price

• Ambulatory Surgical Clinic/Center in Poway, CA
• Providers in Poway, 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 Aug 22, 2020; 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.

Verify at the official NPI Registry.