PDI SURGERY CENTER
NPI 1598993198
Clinic/Center - Ambulatory Surgical in Windsor, CA
About Pdi Surgery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PDI SURGERY CENTER (NPI 1598993198) is a healthcare organization registered as an ambulatory surgical in Windsor, California and active in the NPI registry since June 2009. The organization lists Julie Belle Tucker, Administrator/director Of Nursing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pdi Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINDSOR, CA 95492
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 Pediatric Dental Initiative Of The North Coast, Inc.'s NPI number?
The NPI number for Pediatric Dental Initiative Of The North Coast, Inc. is 1598993198. It was assigned to this organization in the NPPES registry on June 23, 2009. The provider is doing business as Pdi Surgery Center.
Where is Pediatric Dental Initiative Of The North Coast, Inc. located?
Pediatric Dental Initiative Of The North Coast, Inc. is located at 1380 19th Hole Dr, Windsor, CA 95492. The listed phone number is (707) 838-6560.
What is Pediatric Dental Initiative Of The North Coast, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Pediatric Dental Initiative Of The North Coast, Inc. enrolled in Medicare?
Yes. Pediatric Dental Initiative Of The North Coast, Inc. is registered in the Medicare PECOS enrollment system.
When is Pediatric Dental Initiative Of The North Coast, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulatory Surgical Center) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for Pediatric Dental Initiative Of The North Coast, Inc. was last updated on June 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Pdi Surgery Center · NPI 1598993198
Ambulatory Surgical organization in Windsor, California. Organization record, active in the CMS NPPES registry since June 23, 2009.
## Identity
- **NPI:** 1598993198 (Entity type: Organization)
- **Enumerated:** June 23, 2009
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** Pediatric Dental Initiative Of The North Coast, Inc.
- **Organization subpart:** No
- **Authorized official:** Julie Tucker, ADMINISTRATOR/DIRECTOR OF NURSING
## Practice location
- **Address:** 1380 19TH HOLE DR, Windsor, CA 95492-7713
- **Phone:** (707) 838-6560 · **Fax:** (707) 838-8464
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Ambulatory Surgical Center) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1598993198) · Data from the CMS NPPES public registry.