PACIFIC SURGICAL SUITE LLC NPI 1518452531

NPI Information

  • NPI: 1518452531
  • Provider Name: PACIFIC SURGICAL SUITE, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D2153169
  • Address: 558 SAINT CHARLES DR STE 200
    THOUSAND OAKS, CA
    ZIP 91360
  • Phone: (805) 379-2322

Map and Directions

Get Directions

NPI Details

PACIFIC SURGICAL SUITE, LLC is an ambulatory surgical clinic center in Thousand Oaks, CA. PACIFIC SURGICAL SUITE, LLC NPI is 1518452531. The provider is registered as an organization entity type.

The provider's business location address is:

558 SAINT CHARLES DR STE 200
THOUSAND OAKS, CA
ZIP 91360-968
Phone: (805) 379-2322

The provider's authorized official is Monica Fandino .
The authorized official title is Biiling Manager and has the following contact phone number (805) 379-2322.

The CLIA number assigned to this NPI record is 05D2153169 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2018 and was last updated on 9/26/2025.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI