Paradise Surgical Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

G544660 Issued in CA

Legal business name

PARADISE SURGICAL ASSOCIATES

Practice address

6480 Pentz Rd
Suite a
Paradise, CA 95969-3672

Phone

(530) 877-4983

Fax

(530) 877-8621

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lyle B Hunt, M.D.

Title

Partner

Phone

(530) 877-4986

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 1

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

• Justin Hunt, M.D.

  • Surgery Physician
  • Paradise, CA
  • NPI 1386806156
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1245371327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 PENTZ RD",
            "address_2": "SUITE A",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693672",
            "telephone_number": "530-877-4983",
            "fax_number": "530-877-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 PENTZ RD",
            "address_2": "SUITE A",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693672",
            "telephone_number": "530-877-4983",
            "fax_number": "530-877-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "530-877-4986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G544660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G544660",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "660066807",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ97927A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BX",
            "identifier": "660066807",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS HMO",
            "identifier": "G544660",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "020004649",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paradise Life Resource Team
• Paradise Medical Group, Inc.
• Paradise Midwifery Services
• Paradise Post Acute LLC
• Paradise Surgery Center
• Paradise Ultrasound
• Paradise Unified School District
• Phyllis A Parent, PT
• Nanhee Park, DDS
• Sung Park, M.D.

• Specialist in Paradise, CA
• Providers in Paradise, CA by specialty
• Specialist in California

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