Pacific Coast Surgical Center LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PACIFIC COAST SURGICAL CENTER LP

Practice address

3720 Lomita Blvd
Suite 100
Torrance, CA 90505-3884

Phone

(310) 802-6260

Fax

(310) 802-6268

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Rifaat Dover Salem, M.D. PHD

Title

Medical Director

Phone

(310) 802-6260

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Pacific Coast Surgical Center LPCCN 05C0001677

Locations

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1306031034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 LOMITA BLVD",
            "address_2": "STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053884",
            "telephone_number": "310-802-6260",
            "fax_number": "310-802-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 LOMITA BLVD",
            "address_2": "SUITE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053884",
            "telephone_number": "310-802-6260",
            "fax_number": "310-802-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST SURGICAL CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "RIFAAT",
        "authorized_official_middle_name": "DOVER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-802-6260",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D. PHD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen H. Pachtman, M.D.
• Pacific Advanced Kidney Solutions Inc
• Pacific Coast Behavioral Health Inc.
• Pacific Coast Reproductive Center, Inc
• Pacific Coast Surgical Center
• Pacific Crest Healthcare Independent Provider Association, Inc.
• Pacific Diamond Medical, Inc.
• Pacific Endo-Surgical Center LP
• Pacific Endo-Surgical Center, LP
• Pacific Hearts Hospice Inc.

• Ambulatory Surgical Clinic/Center in Torrance, CA
• Providers in Torrance, 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 Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.