PACIFIC SHORE SURGERY CENTER – NPI #1497046064
Clinic/Center

PACIFIC SHORE SURGERY CENTER is an AHC clinic located in ORANGE, CA. NPPES has assigned the NPI number 1497046064 to PACIFIC SHORE SURGERY CENTER on April 29, 2011. 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 PACIFIC SHORE SURGERY CENTER below.

NPI Profile for
PACIFIC SHORE SURGERY CENTER

NPI Number
1497046064
Enumeration Date

(more than 15 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
PACIFIC SHORE SURGERY CENTER
Primary location
302 W. LAVETA AVE
SUITE 100
ORANGE, CA 92866
Phone: (714) 516-2605 Fax: (714) 285-0018
Mailing address
902 N GRAND AVE
SUITE 200
SANTA ANA, CA 92701-4218
Phone: (714) 285-0014 Fax: (714) 285-0018
Organization Subpart
No
Authorized Official
FRANK GIACOBETTI
CEO
Phone: (714) 285-0014
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 425960

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.