Psa Ambulatory Surgical Center of North Austin LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PSA AMBULATORY SURGICAL CENTER OF NORTH AUSTIN LLC

Practice address

2218 South Lakeline Blvd
BLDG 1 Suite 101
Cedar Park, TX 78613

Phone

(561) 414-9326

NPI assigned

Apr 4, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Opalak

Title

VP, RCM

Phone

(561) 414-9326

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1770377947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 SOUTH LAKELINE BLVD",
            "address_2": "BLDG 1 SUITE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "561-414-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 SOUTH LAKELINE BLVD",
            "address_2": "BLDG 1 SUITE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "78613",
            "telephone_number": "561-414-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSA AMBULATORY SURGICAL CENTER OF NORTH AUSTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "OPALAK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "VP, RCM",
        "authorized_official_telephone_number": "561-414-9326",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.