PACIFIC SHORE SURGERY CENTER (NPI# 1497046064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497046064 |
| Entity Type | Organization |
| Organization Name | PACIFIC SHORE SURGERY CENTER |
| Practice Address |
302 W. Laveta Ave Suite 100 Orange CA 92866 |
| Mailing Address |
902 N Grand Ave Suite 200 Santa Ana CA 92701-4218 |
| Practice Telephone | 7145162605 |
| Practice Fax Number | 7142850018 |
| Mailing Telephone | 7142850014 |
| Mailing Fax Number | 7142850018 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |
| Authorized Official Name | DR. FRANK BERNARD GIACOBETTI (CEO) |
| Authorized Official Telephone | 7142850014 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
425960 | CA | Ambulatory Health Care Facilities |
| Street Address |
302 W. LAVETA AVE SUITE 100 |
| City | ORANGE |
| State | CA |
| Zip Code | 92866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1477114122 | Beverley P Brownell | Nurse Practitioner | 1215 E. Chapman Avenue, Orange, CA 92866 | 2019-06-24 |
| 1528539442 | Brian Chau | Pharmacist | 1538 E. Chapman Ave, Orange, CA 92866 | 2018-12-17 |
| 1891214599 | Nancy Lee Mcdonald | Registered Nurse | 700 Sout Tustin, Orange, CA 92866 | 2017-09-13 |
| 1962932541 | Hao Phu Nguyen | Counselor | 401 S. Tustin Street, Building D, Orange, CA 92866 | 2017-06-15 |
| 1932567377 | Lori Lynn Hughes | Psychologist | 734 E. Chapman Ave., Suite 734, Orange, CA 92866 | 2016-01-30 |
| 1417291360 | Lori Ann Bartczak | Speech-Language Pathologist | 393 S. Tustin St., Orange, CA 92866 | 2012-11-15 |
| 1871805127 | Spring Medley Peavy | Nurse Practitioner | 1040 E. Chapman Ave, Orange, CA 92866 | 2010-07-01 |
| 1790956084 | Kevin Robert Franks | Dentist | 532 E Chapman Ave, Orange, CA 92866 | 2008-03-14 |
| 1750587986 | Donna Jean Crowell | Social Worker | 1440 E. Chapman Ave, Orange, CA 92866 | 2007-06-25 |
| Find all providers in zip 92866 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861907107 | United Surgery Center-orange LLC | Clinic/Center | 1140 W La Veta Ave Ste 550, Orange, CA 92868-4214 | 2017-12-08 |
| 1568918548 | Orange Partners Surgicenter, LLC | Clinic/Center | 438 E Katella Ave Ste D, Orange, CA 92867-4857 | 2016-08-30 |
| 1568844934 | Fashion Island Surgery Center, LLC | Clinic/Center | 302 W La Veta Ave Ste 100, Orange, CA 92866-2607 | 2015-06-22 |
| 1225275688 | Main Street Specialty Surgery Center, LLC | Clinic/Center | 280 S Main St Ste 100, Orange, CA 92868-3852 | 2009-01-07 |
| 1326223298 | Orangewood Surgical Center LLC | Clinic/Center | 2143 W Orangewood Ave, Orange, CA 92868-1941 | 2008-01-09 |
| 1316070915 | Vista Surgical Center Inc | Clinic/Center | 1310 W Stewart Dr Ste 310, Orange, CA 92868-3838 | 2007-03-13 |
| 1275643694 | Regents of The University of California | Clinic/Center | 200 S Manchester Ave Ste 650, Orange, CA 92868-3224 | 2006-08-30 |
| 1679528772 | St Joseph Surgery & Laser Center Inc | Clinic/Center | 436 S Glassell St, Orange, CA 92866-1906 | 2006-05-24 |
| 1912976408 | Planned Parenthood of Orange/san Bernardino Counties | Clinic/Center | 700 S Tustin St, Orange, CA 92866-3425 | 2006-03-16 |
| 1891782264 | Main Street Specialty Surgery Center | Clinic/Center | 280 S Main St, Suite 100, Orange, CA 92868-3852 | 2005-09-30 |
| Find all providers in ORANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.