PCCC SURGERY CENTER INC. – NPI #1639896384
Clinic/Center

PCCC SURGERY CENTER INC. is an AHC clinic located in FRESNO, CA. NPPES has assigned the NPI number 1639896384 to PCCC SURGERY CENTER INC. on October 24, 2022. 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

The NPI profile was last updated on Jan 02, 2025. 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 PCCC SURGERY CENTER INC. below.

NPI Profile for
PCCC SURGERY CENTER INC.

NPI Number
1639896384
Enumeration Date

(more than 3 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
PCCC SURGERY CENTER INC.
Primary location
5771 N FRESNO ST STE 101
FRESNO, CA 93710-6091
Phone: (833) 478-1818 Fax:
1 Other location(s):
1130 Coffee Rd Bldg 5B
Modesto, CA 95355-4228
Phone: (833) 478-1818
Mailing address
3550 Q ST STE 304B
BAKERSFIELD, CA 93301-1662
Phone: (833) 478-1818 Fax: (833) 478-1817
Organization Subpart
No
Authorized Official
LORRAINE HERNANDEZ
ADMINISTRATOR
Phone: (833) 478-1818
Updated
Certification Date
Jan 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
EMAIL
Content Type
Affiliation
N
Endpoint Location
3550 Q ST STE 304B,
BAKERSFIELD, CA 77025-1669