VANTAGE SURGERY CENTER L P NPI 1275594012

NPI Information

NPI: 1275594012
Provider Name: VANTAGE SURGERY CENTER, L P
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D0997664

Address:
622 ABBOTT ST
SUITE A
SALINAS, CA
ZIP 93901
Phone: (831) 771-3999
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VANTAGE SURGERY CENTER, L P is an ambulatory surgical clinic center in Salinas, CA. VANTAGE SURGERY CENTER, L P NPI is 1275594012. The provider is registered as an organization entity type.

The provider's business location address is:

622 ABBOTT ST
SUITE A
SALINAS, CA
ZIP 93901-315
Phone: (831) 771-3999
Fax: (831) 771-0180

The provider's authorized official is Arthur Brookfield .
The authorized official title is Chief Financial Officer and has the following contact phone number (602) 598-7488.

The CLIA number assigned to this NPI record is 05D0997664 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2006 and was last updated on 2/21/2024.

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	070000637	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	ZZZH2706Z	OTHER	CALIFORNIA	BLUE SHIELD PROVIDER #
2	AS1543	OTHER	CALIFORNIA	BLUE CROSS PROVIDER ID

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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