PCCC SURGERY CENTER INC.
NPI 1639896384
Clinic/Center - Ambulatory Surgical in Fresno, CA
About Pccc Surgery Center Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PCCC SURGERY CENTER INC. (NPI 1639896384) is a healthcare organization registered as an ambulatory surgical in Fresno, California and active in the NPI registry since October 2022. The organization maintains a secondary practice location in Modesto and lists Lorraine Hernandez, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pccc Surgery Center Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Pccc Surgery Center Inc., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pccc Surgery Center Inc.'s NPI number?
The NPI number for Pccc Surgery Center Inc. is 1639896384. It was assigned to this organization in the NPPES registry on October 24, 2022.
Where is Pccc Surgery Center Inc. located?
Pccc Surgery Center Inc. is located at 5771 N Fresno St Ste 101, Fresno, CA 93710. The listed phone number is (833) 478-1818.
What is Pccc Surgery Center Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Pccc Surgery Center Inc. enrolled in Medicare?
Yes. Pccc Surgery Center Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pccc Surgery Center Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Pccc Surgery Center Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Pain Management (7), Hospice/Palliative Care (1) and Physical Medicine and Rehabilitation (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pccc Surgery Center Inc. was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Pccc Surgery Center Inc. · NPI 1639896384
Ambulatory Surgical organization in Fresno, California. Organization record, active in the CMS NPPES registry since October 24, 2022.
## Identity
- **NPI:** 1639896384 (Entity type: Organization)
- **Enumerated:** October 24, 2022
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Lorraine Hernandez, ADMINISTRATOR
## Practice location
- **Address:** 5771 N FRESNO ST STE 101, Fresno, CA 93710-6091
- **Phone:** (833) 478-1818
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pain Management (7), Hospice/Palliative Care (1), Physical Medicine and Rehabilitation (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639896384) · Data from the CMS NPPES public registry.