Pacific Endo-Surgical Center, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

930000979 Issued in CA

Legal business name

PACIFIC ENDO-SURGICAL CENTER, LP

Practice address

3445 Pacific Coast Hwy
Suite 120
Torrance, CA 90505-6658

Phone

(310) 326-1666

Fax

(310) 326-9666

NPI assigned

Jul 3, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Jeanette L. Driskill, RN

Title

Administrator

Phone

(310) 326-1666

Specialties & licenses 1

Addresses

Other names 1

• Pacific Endo-Surgical Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradford Lee Thue, M.D.

  • Anesthesiology Physician
  • Torrance, CA
  • NPI 1912935701
  NPD (past)

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

{
    "created_epoch": "1120348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1811994080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 PACIFIC COAST HWY",
            "address_2": "SUITE 120",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056658",
            "telephone_number": "310-326-1666",
            "fax_number": "310-326-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 PACIFIC COAST HWY",
            "address_2": "SUITE 120",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056658",
            "telephone_number": "310-326-1666",
            "fax_number": "310-326-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC ENDO-SURGICAL CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-03",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "DRISKILL",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-326-1666",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930000979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Endo-Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pacific Coast Surgical Center
• Pacific Coast Surgical Center LP
• Pacific Crest Healthcare Independent Provider Association, Inc.
• Pacific Diamond Medical, Inc.
• Pacific Endo-Surgical Center LP
• Pacific Hearts Hospice Inc.
• Pacific Integrity Home Health Inc.
• Pacific Mededge Inc
• Pacific Medical Labs
• Pacific Sports Pain Orthopedic Rehabilitation Therapy Specialists

• Ambulatory Surgical Clinic/Center in Torrance, CA
• Providers in Torrance, 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 Jun 17, 2008; 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.