Organization
PLAZA SURGERY CENTER L P
Active
Other names
Plaza Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUE ANDERSEN (CFO)
(805) 739-3600
Entity
Organization
Contact information
Practice address
525 PLAZA DR, SUITE 100, SANTA MARIA, CA 93454-6953
(805) 739-3809
(805) 739-3887
Mailing address
525 PLAZA DR STE 100, SANTA MARIA, CA 93454-6966
(805) 739-3809
(805) 739-3887
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
050000578
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
651190935
IRS - SP TAS ID
—
01
—
7498486
AETNA
CA
05
—
CGP171469
—
CA
05
—
SUR01620F
—
CA
01
—
ZZZH4213Z
BLUE SHIELD OF CA
—
Enumeration date
02/28/2007
Last updated
02/16/2026
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