Pacific Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PACIFIC SURGERY CENTER

Practice address

21 Tamal Vista Blvd Ste 103
Corte Madera, CA 94925-1133

Phone

(415) 927-7660

Fax

(415) 927-7663

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tancredi D'Amore, M.D.

Title

Owner

Phone

(415) 927-7660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1609915230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TAMAL VISTA BLVD STE 103",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251133",
            "telephone_number": "415-927-7660",
            "fax_number": "415-927-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TAMAL VISTA BLVD STE 103",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251133",
            "telephone_number": "415-927-7660",
            "fax_number": "415-927-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "D'AMORE",
        "authorized_official_first_name": "TANCREDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-927-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Olson, MD
• Alfred David Oppenheim, M.D.
• Optimal DME Inc
• Greg Orcutt
• Marilyn Orlova-Zitzer IV, FNP, CRNFA
• Aferdita Papraniku, RDN
• Kelly Marie Paquette, PSY.D.
• Arbella Odishoo Parrot, PSYD
• Molly Parsons
• Karen Pascoe, AMFT

• Ambulatory Surgical Clinic/Center in Corte Madera, CA
• Providers in Corte Madera, 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 Aug 26, 2010; 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.