Premier Surgery Center of Santa Maria LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PREMIER SURGERY CENTER OF SANTA MARIA LLC

Practice address

816 East Enos Drive
B
Santa Maria, CA 93454

Phone

(805) 347-7813

Fax

(805) 347-7814

NPI assigned

Dec 1, 2006

Last updated

Mar 3, 2026By 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

Clifton Bazhaw

Title

Chief Revenue Officer

Phone

(214) 893-0471

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780752352. Details of each certification follow.

• CCN 050847 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 050847

Legal name

PREMIER SURGERY CENTER OF SANTA MARIA

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Apr 23, 2021

Last certification

Apr 23, 2021

Beds

1

Ownership / control type

Private (for profit)

Facility address

816 East Enos Drive, Suite B
Santa Maria, CA 93454

Listed as

Premier Surgery Center of Santa MariaCCN 05C0001801

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pacific Eye Surgeons, a California Professional Medical Corporation

  dba Optical Concepts

  • Eyewear Supplier
  • Santa Maria, CA
  • NPI 1871723015

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Ahmad A Amir, M.D.

  • Ophthalmology Physician
  • Santa Maria, CA
  • NPI 1851393086
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1780752352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 EAST ENOS DRIVE",
            "address_2": "B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-347-7813",
            "fax_number": "805-347-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 EAST ENOS DRIVE",
            "address_2": "B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-347-7813",
            "fax_number": "805-347-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGERY CENTER OF SANTA MARIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "BAZHAW",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "214-893-0471"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Marie Poyntz, FNP
• Camila Valeria Prada Razuri
• Ashley Prancevic, RN BSN
• Prasan Mohansinh Parmar DDS, Inc.
• Catalina Pratt
• Premise Health of California Medical PC (La Clinica FreSalud)
• John Rader Prewett, O.D.
• Glenn Chester Prezkop, D.M.D.
• Delane Owen Price, PA-C
• Ronald Jay Prober, PT

• Ambulatory Surgical Clinic/Center in Santa Maria, CA
• Providers in Santa Maria, 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 Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.