Healthcare Provider Details

I. General information

NPI: 1164901302
Provider Name (Legal Business Name): PINNACLE SURGICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2018
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3175 COLLINS DR
MERCED CA
95348-3133
US

IV. Provider business mailing address

3175 COLLINS DR
MERCED CA
95348-3133
US

V. Phone/Fax

Practice location:
  • Phone: 209-740-4686
  • Fax: 209-740-4717
Mailing address:
  • Phone: 209-740-4686
  • Fax: 209-740-4717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREA FRENCH
Title or Position: OWNER
Credential: MD
Phone: 408-893-8922