{"npi":"1689795312","type":"NPI-2","status":"active","name":{"display":"Pacific Palisades Surgery Center And Medical Group INC","other":[],"organization_name":"PACIFIC PALISADES SURGERY CENTER AND MEDICAL GROUP INC","authorised_official":"Cynthia Boxrud"},"specialty":{"primary_taxonomy":"261QA1903X","primary_taxonomy_description":"Ambulatory Surgical Clinic/Center","slug":"ambulatory-surgical-clinic-center","schema_org_specialty":null,"all":[{"code":"261QA1903X","description":"Ambulatory Surgical Clinic/Center","primary":true,"state":"CA","license":"S051575"}]},"addresses":[{"purpose":"LOCATION","street_1":"2021 SANTA MONICA BLVD","city":"SANTA MONICA","state":"CA","postal_code":"904042208","country_code":"US","street_2":"SUITE 724E","phone":"3108299060","fax":"3108299015"},{"purpose":"MAILING","street_1":"2021 SANTA MONICA BLVD STE 724E","city":"SANTA MONICA","state":"CA","postal_code":"904042170","country_code":"US","phone":"3108299060","fax":"3108299015"}],"license":{"state":"CA","number":"S051575"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100122000604","type_code":"12-49","type_desc":"PART B SUPPLIER - AMBULATORY SURGICAL CENTER","state":"CA","pac_id":"9739221110"}]},"enumeration_date":"2007-04-02","last_updated":"2010-02-02","_meta":{"source":"NPPES","snapshot_date":"2010-02-02","doc_url":"https://findmynpi.com/api"}}