NPIMap

Organization Active NPI

Proliance Surgeons Inc P S

Doing business as Proliance Southwest Seattle Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Burien, WA
National Provider Identifier
1376727214
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
601484763 Issued in WA
Legal business name
PROLIANCE SURGEONS INC P S
Doing business as
Proliance Southwest Seattle Surgery Center
Practice address
275 SW 160TH St Ste 200
Burien, WA 98166-3003
Phone
(206) 988-0933
NPI assigned
Dec 27, 2007
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PROLIANCE SURGEONS INC P SAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Cori M. Pleasant
Title
Del Cred & Enrollment Manager
Phone
(206) 838-2585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 601484763 WA Primary

Addresses

Primary practice location

275 SW 160TH St Ste 200
Burien, WA 98166-3003

Mailing address

275 SW 160TH St Ste 200
Burien, WA 98166-3003
Phone (206) 988-0933

Other identifiers 3

IdentifierTypeStateIssuer
613852800OtherOWCP
1021785MedicaidWA
228947OtherWAWA LABOR & INDUSTRIES

Other names 2

  • Proliance Southwest Seattle Surgery Center Doing business as
  • Southwest Seattle Ambulatory Surgery Center (FKA) Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031208000102 WA Part B Supplier - Ambulatory Surgical Center 8527972900 14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kirkland, WA
O20171211000361 WA Part B Supplier - Ambulatory Surgical Center 8527972900 Practice locations: Burien, WA

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Proliance Surgeons Inc PSCCN 50C0001231
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Proliance Surgeons Inc PS

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1376727214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SW 160TH ST STE 200",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663003",
            "telephone_number": "206-988-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SW 160TH ST STE 200",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663003",
            "telephone_number": "206-988-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIANCE SURGEONS INC P S",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROLIANCE SURGEONS INC P S",
        "enumeration_date": "2007-12-27",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "PLEASANT",
        "authorized_official_first_name": "CORI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DEL CRED & ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "206-838-2585"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "601484763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "613852800",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021785",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LABOR & INDUSTRIES",
            "identifier": "228947",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proliance Southwest Seattle Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Seattle Ambulatory Surgery Center (FKA)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.