Pacific Eye Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PACIFIC EYE SURGERY CENTER

Practice address

2829 W Burbank Blvd
Burbank, CA 91505-2300

Phone

(818) 567-0348

Fax

(818) 567-2859

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alan Berg

Title

Member

Phone

(818) 845-6664

Specialties & licenses 1

Addresses

Other names 1

• Pacific Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Pacific Surgery CenterCCN 05C0001139

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1497788277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052300",
            "telephone_number": "818-567-0348",
            "fax_number": "818-567-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052300",
            "telephone_number": "818-567-0348",
            "fax_number": "818-567-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC EYE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "818-845-6664",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Richard Pacal, D.D.S.
• Brynilla Pacheco, P.T.
• Robert A Pacheco, DPT
• Pacific Accountable Care Network Inc
• Pacific Clinics
• Pacific Gynecologic Specialists
• Pacific Home Health Care
• Pacific Imaging West, Inc.
• Pacific Sports Health Management, Inc.
• Ruchi Dineshkumar Padalia

• Ambulatory Surgical Clinic/Center in Burbank, CA
• Providers in Burbank, 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 Sep 7, 2023; 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.