Premier Surgical Group Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PREMIER SURGICAL GROUP CORPORATION

Practice address

105 W El Portal Dr Ste B
Merced, CA 95348-2858

Phone

(209) 230-5351

Fax

(209) 230-5373

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Yeare Parker

Title

Practice Manager

Phone

(209) 230-5351

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1366068132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W EL PORTAL DR STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482858",
            "telephone_number": "209-230-5351",
            "fax_number": "209-230-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W EL PORTAL DR STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482858",
            "telephone_number": "209-230-5351",
            "fax_number": "209-230-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGICAL GROUP CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "YEARE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "209-230-5351"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@premiersurggroup.com",
            "affiliation": "N",
            "endpointDescription": "credentialing@premiersurggroup.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 W El Portal Dr Ste B",
            "city": "Merced",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953482858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yashweeni Pratap
• Theareon Robert Pratt, RN
• Fabiola Preciado-Munoz
• Andrea Preciado, LPT
• Billy Ray Preece II, NP-C
• Layne O'Neall Presley
• Michelle Preston-Smith, P.T., D.P.T.
• Brittany Price, NP
• Catherine A Price, C.A., C.M.T.
• Sherri Ann Prisaznik, MA

• Surgery Physician in Merced, CA
• Providers in Merced, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.