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PACIFIC ADVANCED SURGICAL SERVICES
NPI 1144821752
Clinic/Center - Ambulatory Surgical in Petaluma, CA

Active since November 02, 2020
191 LYNCH CREEK WAY STE 101, PETALUMA, CA 94954(707) 495-9632 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2022, Nov 2, 2020 (2 updates tracked since 2020).

About Pacific Advanced Surgical Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC ADVANCED SURGICAL SERVICES (NPI 1144821752) is a healthcare organization registered as an ambulatory surgical in Petaluma, California and active in the NPI registry since November 2020. The organization lists Eric Bruntlett, Coo, as its authorized official.

NPPES Registry Identity

NPI1144821752
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePACIFIC ADVANCED SURGICAL SERVICES
Location Address191 LYNCH CREEK WAY STE 101Petaluma, CA 94954-2389
Mailing Address191 Lynch Creek Way Ste 101Petaluma, CA 94954-2389 · (707) 495-9632
Phone(707) 495-9632
Organization SubpartNo
Authorized OfficialEric BruntlettCoo · (707) 495-9632
Enumeration DateNovember 2, 2020
Last NPPES UpdateNovember 9, 20222 updates tracked since enumeration
NPPES CertifiedNovember 9, 2022
✔ NPI 1144821752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
191 LYNCH CREEK WAY STE 101, Petaluma, CA 94954
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Advanced Surgical Services's NPI number?

The NPI number for Pacific Advanced Surgical Services is 1144821752. It was assigned to this organization in the NPPES registry on November 2, 2020.

Where is Pacific Advanced Surgical Services located?

Pacific Advanced Surgical Services is located at 191 Lynch Creek Way Ste 101, Petaluma, CA 94954. The listed phone number is (707) 495-9632.

What is Pacific Advanced Surgical Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Pacific Advanced Surgical Services was last updated on November 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.