Redwood Empire Surgery Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

REDWOOD EMPIRE SURGERY CENTER, INC

Practice address

1380 19TH Hole Dr
Windsor, CA 95492-7713

Phone

(707) 838-6560

Fax

(707) 838-8464

NPI assigned

May 4, 2007

Last updated

Mar 23, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST, INC.As reported in NPPES

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

Authorized official

Name

Ms. Julie Belle Tucker, RN

Title

Administrator/Director of Nursing

Phone

(707) 838-6560

Specialties & licenses 1

Addresses

Part of

Pdi Surgery Center

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pediatric Dental Initiative of the North Coast, Inc.

  dba PDI Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Windsor, CA
  • NPI 1598993198
  NPPES parent name

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1881806453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 19TH HOLE DR",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954927713",
            "telephone_number": "707-838-6560",
            "fax_number": "707-838-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 19TH HOLE DR",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954927713",
            "telephone_number": "707-838-6560",
            "fax_number": "707-838-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD EMPIRE SURGERY CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST, INC.",
        "enumeration_date": "2007-05-04",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "BELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "707-838-6560",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asish Purushan, LMFT
• Rael Bernstein DDS Apc (Bernstein Orthodontics)
• Raleys
• Jennifer Rasore
• Ingrid Johnson Redding, LMFT
• Brooke Elayne Reitenbach
• Adriana Reyes, MFT-IT
• Johnny Anthony Reyes
• Beau Joseph Rhodes, DC
• Marie Rich

• Ambulatory Surgical Clinic/Center in Windsor, CA
• Providers in Windsor, 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 23, 2009; 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.