WATSONVILLE SURGEONS GROUP LLC NPI 1790799047

NPI Information

  • NPI: 1790799047
  • Provider Name: WATSONVILLE SURGEONS GROUP LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: CENTRAL COAST SURGERY CENTER
  • CLIA Number: 05D1005226
  • Address: 160 GREEN VALLEY RD
    SUITE 101
    FREEDOM, CA
    ZIP 95019
  • Phone: (831) 763-9700

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NPI Details

WATSONVILLE SURGEONS GROUP LLC is an ambulatory surgical clinic center in Freedom, CA. WATSONVILLE SURGEONS GROUP LLC NPI is 1790799047. The provider is registered as an organization entity type.
The provider Is Doing Business As Central Coast Surgery Center.

The provider's business location address is:

160 GREEN VALLEY RD
SUITE 101
FREEDOM, CA
ZIP 95019-160
Phone: (831) 763-9700
Fax: (831) 763-9799

The provider's authorized official is Patrick Seubert Haley .
The authorized official title is Treasurer and has the following contact phone number (831) 462-5512.

The CLIA number assigned to this NPI record is 05D1005226 - 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, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Repair of tendon, finger, and/or palm of hand (HCPCS:26145)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Replacement of knee joint on side of knee (HCPCS:27446)
  • Reshaping of nasal cartilage (HCPCS:30520)
  • Insertion of heart rhythm monitor under skin (HCPCS:33285)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)

The enumeration date for this NPI number is 7/29/2006 and was last updated on 5/16/2019.

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 Surgical070000651CALIFORNIAYes

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
1SUR01580FMEDICAIDCALIFORNIA

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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