Active NPI
Townsend Surgical Services
- Surgical Physician Assistant
- Moreno Valley, CA
National Provider Identifier
1427366053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA16781
- Legal business name
- TOWNSEND SURGICAL SERVICES
- Practice address
- 12979 Moreno Beach Dr
Suite 12303
Moreno Valley, CA 92555-4431 - Phone
- (760) 668-6776
- Fax
- (951) 924-4700
- NPI assigned
- Sep 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dean L Townsend, P.A.-C
- Title
- President
- Phone
- (951) 924-4700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA16781 | CA | Primary |
Addresses
Primary practice location
12979 Moreno Beach Dr
Suite 12303
Moreno Valley, CA 92555-4431
Mailing address
PO Box 9367
Moreno Valley, CA 92552-9367
Phone (760) 668-6776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0PA167810 | Other | CA | PTAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284595200000",
"number": "1427366053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9367",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925529367",
"telephone_number": "760-668-6776",
"fax_number": "951-924-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12979 MORENO BEACH DR",
"address_2": "SUITE 12303",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925554431",
"telephone_number": "760-668-6776",
"fax_number": "951-924-4700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWNSEND SURGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-16",
"last_updated": "2010-09-16",
"status": "A",
"authorized_official_last_name": "TOWNSEND",
"authorized_official_first_name": "DEAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-924-4700",
"authorized_official_credential": "P.A.-C"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA16781",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0PA167810",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.