Organization Active NPI

Pacific Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Fountain Valley, CA
National Provider Identifier
1992879977
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PACIFIC ENDOSCOPY CENTER, LLC
Practice address
17815 Newhope St
Suite R
Fountain Valley, CA 92708-5426
Phone
(714) 432-8881
Fax
(714) 432-8883
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Dr. Surinder S Saini, M.D.
Title
Medical Director
Phone
(714) 429-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

17815 Newhope St
Suite R
Fountain Valley, CA 92708-5426

Mailing address

17815 Newhope St
Suite R
Fountain Valley, CA 92708-5426
Phone (714) 432-8881

National Provider Directory

National Provider Directory

Locations

17815 Newhope St
Ste R
Fountain Vly, CA 92708
Phone (714) 432-8881

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1992879977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17815 NEWHOPE ST",
            "address_2": "SUITE R",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085426",
            "telephone_number": "714-432-8881",
            "fax_number": "714-432-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17815 NEWHOPE ST",
            "address_2": "SUITE R",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085426",
            "telephone_number": "714-432-8881",
            "fax_number": "714-432-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "SAINI",
        "authorized_official_first_name": "SURINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-429-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.