South Coast Surgical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

614072997 Issued in CA

Legal business name

SOUTH COAST SURGICAL

Practice address

40575 Calif Oaks Rd # D2-122
Murrieta, CA 92562-5797

Phone

(951) 894-4739

NPI assigned

Jul 9, 2012

Organization subpart

No

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

Authorized official

Name

Sam Stucki

Title

Manager

Phone

(951) 894-4739

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1780949594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40575 CALIF OAKS RD # D2-122",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625797",
            "telephone_number": "951-894-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40575 CALIF OAKS RD # D2-122",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625797",
            "telephone_number": "951-894-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "STUCKI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-894-4739"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "614072997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris Soto-Rodriguez
• Stephanie Soto
• Talia Soto
• Bonnie Soules
• Sound Physicians Anesthesiology of California PC
• Southern California Spine & Joint Institute, PC
• Kristie Renee Southern
• Southland Gi Medical Corporation a Professional Corporation
• Southwest Hematology Oncology Medical Group
• Southwest Trauma

• Durable Medical Equipment & Medical Supplies in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.