Integrated Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INTEGRATED SURGICAL CENTER

Practice address

550 Saint Charles Dr Ste 101
Thousand Oaks, CA 91360-3971

Phone

(805) 719-6611

Fax

(805) 719-6622

NPI assigned

May 15, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Brown, COMPLIANCE

Title

Administration

Phone

(805) 719-6611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1457917320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SAINT CHARLES DR STE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603971",
            "telephone_number": "805-719-6611",
            "fax_number": "805-719-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SAINT CHARLES DR STE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603971",
            "telephone_number": "805-719-6611",
            "fax_number": "805-719-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "805-719-6611",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COMPLIANCE"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.