SURGICAL SPECIALTIES OF ARROYO GRANDE INC. NPI 1750308763

NPI Information

NPI: 1750308763
Provider Name: SURGICAL SPECIALTIES OF ARROYO GRANDE INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
860 OAK PARK BLVD
102
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 474-6383
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SURGICAL SPECIALTIES OF ARROYO GRANDE INC. is an ambulatory surgical clinic center in Arroyo Grande, CA. SURGICAL SPECIALTIES OF ARROYO GRANDE INC. NPI is 1750308763. The provider is registered as an organization entity type.

The provider's business location address is:

860 OAK PARK BLVD
102
ARROYO GRANDE, CA
ZIP 93420-800
Phone: (805) 474-6383
Fax: (805) 474-6387

The provider's authorized official is Thomas D Ferro .
The authorized official title is Medical Director and has the following contact phone number (805) 474-6383.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 10/26/2017.

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	050000571	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	S051577	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	050000571	OTHER	CALIFORNIA	LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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