St. George Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ST. GEORGE SURGICAL CENTER

Practice address

111 E Noble Ave
Visalia, CA 93277-2700

Phone

(559) 627-6500

Fax

(559) 627-6501

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Hany Nasr, MD

Title

Medical Director

Phone

(559) 627-6500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1780287276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772700",
            "telephone_number": "559-627-6500",
            "fax_number": "559-627-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772700",
            "telephone_number": "559-627-6500",
            "fax_number": "559-627-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GEORGE SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "NASR",
        "authorized_official_first_name": "HANY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "559-627-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spruce Holdings, LLC
• Jazzmyne Squire
• Sushma Srinivas
• Benny Bounmy Sripaserth, CASE MANAGER
• St Mary Physical Therapy Inc
• Mark Oliver Stack Jr.
• Brian Lee Stagg, ED.S.
• Miroslav Mike Stanic, D.D.S.
• Michael Stanley
• Morgan Stanley, DO

• Ambulatory Surgical Clinic/Center in Visalia, CA
• Providers in Visalia, 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 Nov 18, 2020; 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.