Organization Active NPI

Pinnacle Surgery Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Walnut Creek, CA
National Provider Identifier
1427585280
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PINNACLE SURGERY CENTER, INC
Practice address
100 N Wiget LN Ste 140
Walnut Creek, CA 94598-5917
Phone
(925) 478-5444
Fax
(925) 478-4442
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Amir A Jamali, MDNPI 1114917473
Title
Manager
Phone
(925) 478-5444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

100 N Wiget LN Ste 140
Walnut Creek, CA 94598-5917

Mailing address

100 N Wiget LN Ste 140
Walnut Creek, CA 94598-5917
Phone (925) 478-5444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180419002055 CA Part B Supplier - Ambulatory Surgical Center 5294098588 Receives reassigned benefits from 1 practitioner
Practice locations: Walnut Creek, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Pinnacle Surgery CenterCCN 05C0002198
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2181022Pinnacle Surgery Center, Dba100 North Wiget Lane Suite 140, Walnut Creek, CA 94598Certificate of waiverMar 24, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1427585280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WIGET LN STE 140",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985917",
            "telephone_number": "925-478-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WIGET LN STE 140",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985917",
            "telephone_number": "925-478-5444",
            "fax_number": "925-478-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "JAMALI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "925-478-5444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.