Pacific Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PACIFIC AMBULATORY SURGERY CENTER LLC

Practice address

707 S Garfield Ave., Suite 101
Alhambra, CA 91801

Phone

(626) 656-1285

Fax

(626) 382-1835

NPI assigned

Jul 7, 2005

Last updated

Mar 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charlie Tsay, MD

Title

Medical Director

Phone

(626) 656-1285

Specialties & licenses 1

Addresses

Other names 1

• Pacific Ambulatory Surgery Center, LP Former legal business name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467459214. Details of each certification follow.

• CCN 05C0001735 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 05C0001735

Legal name

PACIFIC AMBULATORY SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Oct 19, 2005

Last certification

Jan 24, 2017

Ownership / control type

Proprietary

Facility address

707 South Garfield Avenue, Suite #101
Alhambra, CA 91801

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Chiusung Chan, M.D.

  • Obstetrics & Gynecology Physician
  • Monterey Park, CA
  • NPI 1326105743
  NPD (past)
• Adam Ken Yip Wong, M.D.

  • Anesthesiology Physician
  • Fountain Valley, CA
  • NPI 1457419046
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1467459214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S GARFIELD AVE., SUITE 101",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "91801",
            "telephone_number": "626-656-1285",
            "fax_number": "626-382-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S GARFIELD AVE., SUITE 101",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "91801",
            "telephone_number": "626-656-1285",
            "fax_number": "626-382-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "TSAY",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-656-1285",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Ambulatory Surgery Center, LP",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Pacific Ambulatory Surgery Center, LP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nelson James Owyoung, M.D.
• Mylan Oyagha, MASSAGE THERAPIST
• P Z Lee DMD Dental Corporation (Kind Kare Dental)
• P.Q. Medical Group Inc.
• Yaritza N/a Pablo
• Pacific Clinics
• Pacific Health Mso, Inc
• Pacific Medical Imaging and Oncology Center, Inc
• Pacific Orthopaedic Associates
• Pacific Orthopaedic Medical Group, Inc.

• Ambulatory Surgical Clinic/Center in Alhambra, CA
• Providers in Alhambra, 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 Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.