MONTEREY PENINSULA SURGERY CENTER CAPITOLA NPI 1407116361

NPI Details

MONTEREY PENINSULA SURGERY CENTER CAPITOLA is an ambulatory surgical clinic center in Capitola, CA. MONTEREY PENINSULA SURGERY CENTER CAPITOLA NPI is 1407116361. The provider is registered as an organization entity type.
The provider Is Doing Business As Capitola Surgery Center.

The provider's business location address is:

2265 41ST AVE
CAPITOLA, CA
ZIP 95010-039
Phone: (831) 372-2169
Fax: (831) 372-6323

The provider's authorized official is Thomas Daniel Wilson .
The authorized official title is Ceo and has the following contact phone number (831) 372-2169.

The CLIA number assigned to this NPI record is 05D2051707 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
• Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
• Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
• Destruction of nerves supplying joint between spine and pelvis using imaging guidance (HCPCS:64625)
• Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
• Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
• Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
• Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
• Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
• Removal of extensive dead or infected tissue using an endoscope (HCPCS:29898)
• Removal of knee cartilage using an endoscope (HCPCS:29881)
• Replacement of knee joint, both sides of knee (HCPCS:27447)

The enumeration date for this NPI number is 5/24/2012 and was last updated on 11/30/2012.

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: