PARADISE SURGERY CENTER – NPI #1245765924
Clinic/Center

PARADISE SURGERY CENTER is an AHC clinic located in PARADISE, CA. NPPES has assigned the NPI number 1245765924 to PARADISE SURGERY CENTER on May 01, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PARADISE SURGERY CENTER below.

NPI Profile for
PARADISE SURGERY CENTER

NPI Number
1245765924
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PARADISE SURGERY CENTER
Primary location
6283 CLARK RD
SUITE 11
PARADISE, CA 95969-4100
Phone: (530) 514-8282 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEROME NISWONGER
OWNER
Phone: (530) 514-8282
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 CA 05C001855

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.