Pacific Hills Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PACIFIC HILLS SURGERY CENTER LLC

Practice address

24022 Calle de la Plata
#180
Laguna Hills, CA 92653-3627

Phone

(949) 458-3551

Fax

(949) 206-1179

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Gregory Cunniff

Title

Chief Admin Officer

Phone

(312) 543-1874

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Pacific Hills Surgery Center LLCCCN 05C0001009

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

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

• Jonathan Ramin Pirnazar, MD

  • Ophthalmology Physician
  • Laguna Hills, CA
  • NPI 1962436410
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1306993464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24022 CALLE DE LA PLATA",
            "address_2": "#180",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533627",
            "telephone_number": "949-458-3551",
            "fax_number": "949-951-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24022 CALLE DE LA PLATA",
            "address_2": "#180",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533627",
            "telephone_number": "949-458-3551",
            "fax_number": "949-206-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HILLS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "CUNNIFF",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CHIEF ADMIN OFFICER",
        "authorized_official_telephone_number": "312-543-1874"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tosha Monyette Owens, MA
• Owrang Dastmalchi DO Inc
• Edwin Salurio Pabalan, PTA
• Domarina E Pace, D.C.
• Corey Pachorek
• Pacific Hills Surgery Center, Inc.
• Pacific Ridge Medical Associates, Inc.
• Pacific Therapeutic Services Inc (Pacific Therapeutics)
• Pacific Thoracic Surgery
• Pacific View Detox, LLC (First Choice Detox)

• Ambulatory Surgical Clinic/Center in Laguna Hills, CA
• Providers in Laguna Hills, 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 Mar 29, 2023; 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.