Surgical Specialties of Arroyo Grande Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

050000571 Issued in CA

Legal business name

SURGICAL SPECIALTIES OF ARROYO GRANDE INC.

Practice address

860 Oak Park Blvd
102
Arroyo Grande, CA 93420-1800

Phone

(805) 474-6383

Fax

(805) 474-6387

NPI assigned

Jul 16, 2006

Last updated

Oct 26, 2017By 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

Mr. Thomas D Ferro, M.D.NPI 1639118110

Title

Medical Director

Phone

(805) 474-6383

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Surgical Specialties of Arroyo Grande Inc Dba Oak Park Surgery CenterCCN 05C0001577

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Thomas Daniel Ferro, M.D.

  • Orthopaedic Surgery Physician
  • Arroyo Grande, CA
  • NPI 1639118110
  NPD (past) Authorized official
• Marc W. Weise, M.D.

  • Orthopaedic Surgery Physician
  • Pismo Beach, CA
  • NPI 1609843499
  NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1750308763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OAK PARK BLVD",
            "address_2": "102",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201800",
            "telephone_number": "805-474-6383",
            "fax_number": "805-474-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 OAK PARK BLVD",
            "address_2": "102",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201800",
            "telephone_number": "805-474-6383",
            "fax_number": "805-474-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALTIES OF ARROYO GRANDE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "FERRO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-474-6383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "050000571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "050000571",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Strauss
• Chloe Margaret Strycker
• Taed M Studer, CPO
• Katherine E Sullivan, LMFT
• Andrew D Sun, M.D.
• Suzanne Erickson
• Kathleen Sweeney, PMHNP-BC
• Ta Smith Chiropractic Inc
• Taeds Ortotics & Prosthetics (Taed Studer)
• Anna Talley, MS CCC-SLP

• Ambulatory Surgical Clinic/Center in Arroyo Grande, CA
• Providers in Arroyo Grande, 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 Oct 26, 2017; 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.