PACIFIC SURGERY CENTER OF SAN LUIS OBISPO, LLC - NPI 1811796162 - Orthopaedic Surgery in San Luis Obispo, CA

Q: What is Pacific Surgery Center Of San Luis Obispo, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

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About Pacific Surgery Center Of San Luis Obispo, Llc NPPES

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

PACIFIC SURGERY CENTER OF SAN LUIS OBISPO, LLC (NPI 1811796162) is a healthcare organization registered as an orthopaedic surgery of the spine in San Luis Obispo, California and active in the NPI registry since March 2025. The organization lists Kellie Tuason, Director Of Nursing, as its authorized official.

NPPES Registry Identity

NPI1811796162

Entity TypeOrganization

Primary Taxonomy207XS0117X

Legal Business NamePACIFIC SURGERY CENTER OF SAN LUIS OBISPO, LLC

Location Address4472 BROAD ST STE 150San Luis Obispo, CA 93401-7990

Mailing Address7230 Medical Center Dr Ste 500West Hills, CA 91307-4024 · (818) 348-7246

Phone(818) 348-7246

Organization SubpartNo

Authorized OfficialKellie TuasonDirector Of Nursing · (818) 348-7246

Enumeration DateMarch 10, 2025

NPPES CertifiedMarch 10, 2025

✔ NPI 1811796162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X

4472 BROAD ST STE 150, San Luis Obispo, CA 93401

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

ABROMS DOUGHERTY VISION ASC LLC

Clinic/Center (Ambulatory Surgical)

4472 BROAD ST STE 150
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 548-1051

VALHALLA SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

4472 BROAD ST STE 150
SAN LUIS OBISPO, CA 93401

San Luis Obispo County (805) 364-8450

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 Surgery Center Of San Luis Obispo, LLC's NPI number?

The NPI number for Pacific Surgery Center Of San Luis Obispo, LLC is 1811796162. It was assigned to this organization in the NPPES registry on March 10, 2025.

Where is Pacific Surgery Center Of San Luis Obispo, LLC located?

Pacific Surgery Center Of San Luis Obispo, LLC is located at 4472 Broad St Ste 150, San Luis Obispo, CA 93401. The listed phone number is (818) 348-7246.

What is Pacific Surgery Center Of San Luis Obispo, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

When was this NPI record last updated?

The NPPES record for Pacific Surgery Center Of San Luis Obispo, LLC was last updated on March 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.