PCSC 15 INC NPI 1073693123

NPI Information

  • NPI: 1073693123
  • Provider Name: PCSC 15 INC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: PACIFIC SURGERY CENTER OF VTA
  • CLIA Number: 05D1018686
  • Address: 3805 TELEGRAPH RD
    VENTURA, CA
    ZIP 93003
  • Phone: (805) 644-9001

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NPI Details

PCSC 15 INC is an ambulatory surgical clinic center in Ventura, CA. PCSC 15 INC NPI is 1073693123. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacific Surgery Center Of Vta.

The provider's business location address is:

3805 TELEGRAPH RD
VENTURA, CA
ZIP 93003-422
Phone: (805) 644-9001
Fax: (805) 654-1103

The provider's authorized official is Keith Wintermute .
The authorized official title is Administrator and has the following contact phone number (805) 644-9001.

The CLIA number assigned to this NPI record is 05D1018686 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Insertion of eye fluid drainage device (HCPCS:66183)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Revision or repair of operative wound of eye (HCPCS:66250)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Creation of shunt to improve eye fluid flow using tissue graft (HCPCS:66180)

The enumeration date for this NPI number is 10/16/2006 and was last updated on 4/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical050000581CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZH5616ZOTHERCALIFORNIABLUE SHIELD PROV. #
2005279OTHERCALIFORNIABLUE CROSS PROV. #
399204OTHERCALIFORNIAHEALTH PARTNERS PROV. #
4S051668MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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