Organization Active NPI

Placentia Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Placentia, CA
National Provider Identifier
1760803233
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PLACENTIA SURGERY CENTER, LLC
Practice address
1041 E Yorba Linda Blvd Ste 200a
Placentia, CA 92870-3728
Phone
(714) 223-9000
Fax
(714) 223-9002
NPI assigned
Dec 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Lisa K Roedel
Title
Director
Phone
(724) 223-9000

Specialties & licenses 1

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

Addresses

Primary practice location

1041 E Yorba Linda Blvd Ste 200a
Placentia, CA 92870-3728

Mailing address

1041 E Yorba Linda Blvd Ste 200a
Placentia, CA 92870-3728
Phone (714) 223-9000

National Provider Directory

National Provider Directory

Locations

1041 E Yorba Linda Blvd
Ste 200A
Placentia, CA 92870
Phone (714) 223-9000

NPI Registry JSON

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1760803233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 200A",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703728",
            "telephone_number": "714-223-9000",
            "fax_number": "714-223-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 200A",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703728",
            "telephone_number": "714-223-9000",
            "fax_number": "714-223-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACENTIA SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "ROEDEL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "724-223-9000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.