Pacific Surgical Center, P.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PACIFIC SURGICAL CENTER, P.C.

Practice address

17672 Beach Blvd Ste B
Huntington Beach, CA 92647-6836

Phone

(714) 848-5555

Fax

(888) 977-3286

NPI assigned

Feb 22, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal Cota

Title

Administrator

Phone

(714) 848-5555

Specialties & licenses 1

Addresses

Tax ID family

Pacific Surgical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pacific Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Huntington Beach, CA
  • NPI 1013421445
  NPD tax ID

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1922509322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17672 BEACH BLVD STE B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476836",
            "telephone_number": "714-848-5555",
            "fax_number": "888-977-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17672 BEACH BLVD STE B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476836",
            "telephone_number": "714-848-5555",
            "fax_number": "888-977-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SURGICAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "COTA",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-848-5555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Medical Massage, LLC
• Pacific Psych NP, Nursing PC
• Pacific Shores Medical Group, Inc
• Pacific Sun Sleep Solutions
• Pacific Surgical Center
• Pacific Surgical LLC.
• Pacifica Dental
• Pacifica Laser Eye Center
• Pacifica Orthopedics
• Pacifica Orthopedics & Sports Medicine

• Ambulatory Surgical Clinic/Center in Huntington Beach, CA
• Providers in Huntington Beach, 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 Feb 22, 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.