Park West Surgical Associates, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PARK WEST SURGICAL ASSOCIATES, INC.

Practice address

127 Raley Blvd.
Chico, CA 95928

Phone

(877) 747-5050

NPI assigned

Mar 19, 2018

Last updated

Mar 19, 2018By 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

Nirvana Kundu, MD

Title

President

Phone

(877) 747-5050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1811491624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "877-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 RALEY BLVD.",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95928",
            "telephone_number": "877-747-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK WEST SURGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "KUNDU",
        "authorized_official_first_name": "NIRVANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-747-5050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pattie Mary Jane Pardini-Barrett, MA MFT
• Daniel A Pardini, M.D.
• Mira Kashi Parekh
• Amie Parent
• Brenda Parish, RN, PHN
• Samuel Mo Park, M.D.
• William Christopher Park, MFT
• Adrienne Mary Parker
• Cindy Lee Parker
• Edgar A. Parker, O.D.

• Ambulatory Surgical Clinic/Center in Chico, CA
• Providers in Chico, 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 19, 2018; 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.