Monterey ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MONTEREY ASC, LLC

Practice address

44139 Monterey Ave
Suite B
Palm Desert, CA 92260-8700

Phone

(949) 610-0033

NPI assigned

Jul 21, 2014

Last updated

Jul 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tom S. Chang, M.D.

Title

Owner

Phone

(626) 676-0838

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1215344312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44139 MONTEREY AVE",
            "address_2": "SUITE B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922608700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44139 MONTEREY AVE",
            "address_2": "SUITE B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922608700",
            "telephone_number": "949-610-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-676-0838",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irma Monsivaiz-Cervantes, MFTI
• Montage Recovery Ca, LLC
• Amy Diane Montague, PH.D.
• Gustavo Montane
• Xavier L Montano
• Monterey Palms Operating Company, LP (Monterey Palms Health Care Center)
• Sarai Montoya
• Xochitl Ixel Montoya
• Nasia Moore
• Cesar A Mora-Esteves, MD

• Ambulatory Surgical Clinic/Center in Palm Desert, CA
• Providers in Palm Desert, 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 Jul 21, 2014; 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.