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PARADISE SURGICAL ASSOCIATES NPI 1245371327


NPI Information

NPI: 1245371327
Provider Name: PARADISE SURGICAL ASSOCIATES
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6480 PENTZ RD
SUITE A
PARADISE, CA
ZIP 95969
Phone: (530) 877-4983
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PARADISE SURGICAL ASSOCIATES is a specialist in Paradise, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PARADISE SURGICAL ASSOCIATES NPI is 1245371327. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6480 PENTZ RD
SUITE A
PARADISE, CA
ZIP 95969-672
Phone: (530) 877-4983
Fax: (530) 877-8621

The provider's authorized official is Lyle B Hunt .
The authorized official title is Partner and has the following contact phone number (530) 877-4986.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 2/21/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG544660CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G544660OTHERCALIFORNIABS HMO
2ZZZ97927ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
300G544660MEDICAIDCALIFORNIA
4A52723MEDICARE UPINCALIFORNIA
5660066807OTHERCALIFORNIATRICARE
6020004649OTHERCALIFORNIARR MEDICARE
7660066807OTHERCALIFORNIABX
8ZZZ97927AOTHERCALIFORNIABLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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