PACIFIC SURGICENTER NPI 1881703080

NPI Information

  • NPI: 1881703080
  • Provider Name: PACIFIC SURGICENTER
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 1301 20TH ST
    #470
    SANTA MONICA, CA
    ZIP 90404
  • Phone: (310) 315-0222

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NPI Details

PACIFIC SURGICENTER is a clinic center in Santa Monica, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PACIFIC SURGICENTER NPI is 1881703080. The provider is registered as an organization entity type.

The provider's business location address is:

1301 20TH ST
#470
SANTA MONICA, CA
ZIP 90404-050
Phone: (310) 315-0222
Fax: (310) 828-8852

The provider's authorized official is Devere Gareth Wootton .
The authorized official title is Medical Director and has the following contact phone number (310) 315-0222.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.

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
1261Q00000XClinic/CenterCALIFORNIAYes

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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