# PREMIER SURGERY CENTER OF SANTA MARIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780752352
- **Authorized official:** CLIFTON BAZHAW (CHIEF REVENUE OFFICER)
- **Authorized official phone:** (214) 893-0471

## Contact information

- **Practice address:** 816 EAST ENOS DRIVE, B, SANTA MARIA, CA 93454
- **Practice address phone:** (805) 347-7813
- **Practice address fax:** (805) 347-7814
- **Mailing address:** 816 EAST ENOS DRIVE, B, SANTA MARIA, CA 93454
- **Mailing address phone:** (805) 347-7813
- **Mailing address fax:** (805) 347-7814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 03/03/2026