NPIMap

Organization Active NPI

Santa Maria Ambulatory Surgery & Laser Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Santa Maria, CA
National Provider Identifier
1548353113
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SANTA MARIA AMBULATORY SURGERY & LASER CENTER, INC.
Practice address
120 N Miller St
Suite C
Santa Maria, CA 93454-4557
Phone
(805) 739-1783
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Pierre Georges Labrecque, M.D.
Title
President
Phone
(805) 739-1783

Specialties & licenses 1

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

Addresses

Primary practice location

120 N Miller St
Suite C
Santa Maria, CA 93454-4557

Mailing address

120 N Miller St
Suite C
Santa Maria, CA 93454-4557
Phone (805) 739-1783

Other identifiers 1

IdentifierTypeStateIssuer
SUR01446FMedicaidCA

Medicare participation

Medicare enrollment files
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 1548353113. Details of each certification follow.

Ambulatory surgical center certification: CCN 05C0001446

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Santa Maria Ambulatory Surgery & Laser Center Inc
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Aug 31, 1999
Last certification
Sep 9, 2015
Ownership / control type
Proprietary
Facility address
120 North Miller Street Suite C
Santa Maria, CA 93454

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548353113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N MILLER ST",
            "address_2": "SUITE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544557",
            "telephone_number": "805-739-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MILLER ST",
            "address_2": "SUITE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544557",
            "telephone_number": "805-739-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA MARIA AMBULATORY SURGERY & LASER CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LABRECQUE",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "GEORGES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-739-1783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01446F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.