PACIFIC SURGERY CENTER NPI 1609915230

NPI Information

  • NPI: 1609915230
  • Provider Name: PACIFIC SURGERY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 21 TAMAL VISTA BLVD STE 103
    CORTE MADERA, CA
    ZIP 94925
  • Phone: (415) 927-7660

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NPI Details

PACIFIC SURGERY CENTER is an ambulatory surgical clinic center in Corte Madera, CA. PACIFIC SURGERY CENTER NPI is 1609915230. The provider is registered as an organization entity type.

The provider's business location address is:

21 TAMAL VISTA BLVD STE 103
CORTE MADERA, CA
ZIP 94925-133
Phone: (415) 927-7660
Fax: (415) 927-7663

The provider's authorized official is Tancredi D'amore .
The authorized official title is Owner and has the following contact phone number (415) 927-7660.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 8/26/2010.

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

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