Organization Active NPI

Townsend Surgical Services

  • Surgical Physician Assistant
  • Moreno Valley, CA
National Provider Identifier
1427366053
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA16781 Issued in CA
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

Updated by the provider on Sep 16, 2010

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)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0PA167810OtherCAPTAN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.