Pacific Coast Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

G46242 Issued in CA

Legal business name

PACIFIC COAST SURGICAL CENTER

Practice address

3720 Lomita Blvd
100
Torrance, CA 90505-3884

Phone

(310) 376-7000

Fax

(310) 373-0319

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rifaat Dover Salem, M.D

Title

Medical Director

Phone

(310) 376-7000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306052014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 LOMITA BLVD",
            "address_2": "100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053884",
            "telephone_number": "310-376-7000",
            "fax_number": "310-373-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 LOMITA BLVD",
            "address_2": "100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053884",
            "telephone_number": "310-376-7000",
            "fax_number": "310-373-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "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": "310-376-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G46242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G46242",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• 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 Aug 22, 2020; 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.