PREMIER PACIFIC SURGICAL INSTITUTE, LLC (NPI# 1831619600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831619600 |
| Entity Type | Organization |
| Organization Name | PREMIER PACIFIC SURGICAL INSTITUTE, LLC |
| Practice Address |
1406 Crenshaw Blvd Torrance CA 90501-2433 |
| Mailing Address |
21213-b Hawthorne Blvd., Suite 101 Torrance CA 90503-5595 |
| Practice Telephone | 3109058884 |
| Mailing Telephone | (310) 905-8884 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-08-29 |
| Authorized Official Name | ROBERT FULLER (GENERAL COUNSEL) |
| Authorized Official Telephone | 3102032803 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
1406 CRENSHAW BLVD |
| City | TORRANCE |
| State | CA |
| Zip Code | 90501-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134399629 | Kathryn Halladay | Occupational Therapist | 1406 Crenshaw Blvd, Torrance, CA 90501-2433 | 2008-03-11 |
| 1275031957 | Corum Anesthesiology Group, PC, Inc. | Anesthesiology | 1406 Crenshaw Blvd, Torrance, CA 90501-2433 | 2018-01-26 |
| 1134535743 | Cpi Surgery Center | Clinic/Center | 1406 Crenshaw Blvd, Torrance, CA 90501-2433 | 2014-07-02 |
| 1114250040 | Occupational and Hand Therapy Ctr | Clinic/Center | 1406 Crenshaw Blvd, Torrance, CA 90501 | 2009-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700351145 | Brittany Ford | Behavior Technician | 701 Van Ness Way, Ste. 710, Sacrmamento, CA 90501 | 2018-10-12 |
| 1912417999 | Wellspring of Life Counseling Center, Inc. | Counselor | 2008 West Carson Street, Suite 105, Torrance, CA 90501 | 2017-10-04 |
| 1902325517 | Diane Elizabeth Rogers | Counselor | 20300 S. Vermont Ave, Suite 275, Torrance, CA 90501 | 2017-09-14 |
| 1124545397 | Daniel Benjamin | Social Worker | 1617 Cravens Ave., Torrance, CA 90501 | 2017-08-28 |
| 1194246819 | Rebecca Senter | Counselor | 1124 W. Carson St N33, Torrance, CA 90501 | 2017-07-03 |
| 1932638376 | Anderson Development Licensed Clinical Social Worker Inc | Social Worker | 21151 S Western Ave Ste 174, Torrance, CA 90501 | 2017-06-08 |
| 1548796626 | Green Meadow Homes, Inc. | Skilled Nursing Facility | 2460 W. 229th Street, Torrance, CA 90501 | 2017-05-10 |
| 1134679558 | Stacey Rose Garcia | Student in an Organized Health Care Education/Training Program | 1445 W 214th St, Torrance, CA 90501 | 2016-10-10 |
| 1700333002 | Veronica Mayela Martinez | Marriage & Family Therapist | 1523 W. 228th St Apt. A, Torrance, CA 90501 | 2016-09-02 |
| 1124453030 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1303 W Sepulveda Blvd, Torrance, CA 90501 | 2013-09-10 |
| Find all providers in zip 90501 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
| 1194299586 | Concierge Surgery Center | Clinic/Center | 23365 Hawthorne Blvd Ste 103, Torrance, CA 90505-3736 | 2019-01-18 |
| 1568944833 | Goodlife Surgery Center LLC | Clinic/Center | 1231 Cabrillo Ave Unit 201a, Torrance, CA 90501-2867 | 2018-09-04 |
| 1730606724 | Center for Total Beauty Surgery, LLC | Clinic/Center | 1231 Cabrillo Ave Ste 201a, Torrance, CA 90501-2867 | 2017-08-29 |
| 1265895858 | Great Life Surgery Center Inc | Clinic/Center | 3445 Pacific Coast Hwy # 250, Torrance, CA 90505-6658 | 2016-03-31 |
| 1932560208 | Advanced Surgical Center of Torrance, LLC | Clinic/Center | 22525 Maple Ave Ste 101, Torrance, CA 90505-2700 | 2016-03-15 |
| 1376923714 | Pacific West Surgery Center, LLC | Clinic/Center | 23000 Crenshaw Blvd Ste 101, Torrance, CA 90505-3052 | 2015-06-01 |
| 1447476668 | Sba Outpatient Surgery Center, Inc | Clinic/Center | 3600 Lomita Boulevard, Suite 101, Torrance, CA 90505-3900 | 2007-04-17 |
| 1790909117 | Sharp Surgery Center | Clinic/Center | 2557 Pacific Coast Highway, Torrance, CA 90505 | 2007-04-13 |
| 1104922772 | Lindon Ken Kawahara Md Dmd | Clinic/Center | 22410 Hawthorne Blvd, Suite 3, Torrance, CA 90505-2539 | 2006-09-14 |
| Find all providers in TORRANCE | ||||
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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.