Organization Active NPI

Monterey Peninsula Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Monterey, CA
National Provider Identifier
1194965038
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
550000547 Issued in CA
Legal business name
MONTEREY PENINSULA SURGERY CENTER LLC
Practice address
966 Cass St Ste 150
Monterey, CA 93940-4522
Phone
(831) 372-5814
NPI assigned
Mar 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Mr. Thomas Wilson
Title
Managing Directo
Phone
(831) 372-2169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 550000547 CA Primary

Addresses

Primary practice location

966 Cass St Ste 150
Monterey, CA 93940-4522

Mailing address

966 Cass St Ste 150
Monterey, CA 93940-4522
Phone (831) 372-5814

National Provider Directory

National Provider Directory
Tax ID family
Monterey Peninsula Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1194965038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 CASS ST STE 150",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404522",
            "telephone_number": "831-372-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 CASS ST STE 150",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404522",
            "telephone_number": "831-372-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY PENINSULA SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING DIRECTO",
        "authorized_official_telephone_number": "831-372-2169",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "550000547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.