ENDOSCOPY SURGERY CENTER OF SANTA MARIA NPI 1912004193

NPI Information

NPI: 1912004193
Provider Name: ENDOSCOPY SURGERY CENTER OF SANTA MARIA
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
116 S PALISADE DR
SUITE 110
SANTA MARIA, CA
ZIP 93454
Phone: (805) 614-5220
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ENDOSCOPY SURGERY CENTER OF SANTA MARIA is an ambulatory surgical clinic center in Santa Maria, CA. ENDOSCOPY SURGERY CENTER OF SANTA MARIA NPI is 1912004193. The provider is registered as an organization entity type.

The provider's business location address is:

116 S PALISADE DR
SUITE 110
SANTA MARIA, CA
ZIP 93454-904
Phone: (805) 614-5220
Fax: (805) 614-5221

The provider's authorized official is Bruce F Mize .
The authorized official title is Medical Director and has the following contact phone number (805) 614-5220.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical		CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SUR01426G	MEDICAID	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

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