Paradise Surgery Center
Paradise Surgery Center is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Paradise, CA, holding Type 2 (organization) NPI 1245765924 since 2017. The authorized official on file is Jerome Niswonger, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1245765924 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Paradise Surgery Center |
| Practice address | 6283 CLARK RD, SUITE 11, Paradise, CA, 95969 |
| Phone | 5305148282 |
| Enumeration date | 2017-05-01 |
| Last updated in NPPES | 2017-05-01 |
Authorized official
| Name | Jerome Niswonger |
|---|---|
| Title | Owner |
| Phone | 5305148282 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | 05C001855 | CA |
Copy-ready billing details
Provider: Paradise Surgery Center NPI: 1245765924 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 6283 CLARK RD, SUITE 11, Paradise, CA, 95969
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1285636308 | Brock Cummings | Individual | Orthopaedic Surgery Physician | Paradise, CA |
| 1396741518 | Sung Park | Individual | Obstetrics & Gynecology Physician | Paradise, CA |
| 1184600108 | Jennifer Ensminger | Individual | Ophthalmology Physician | Paradise, CA |
| 1801873575 | Andrew Brasch | Individual | Neurology Physician | Paradise, CA |
| 1265410021 | Per Dovre | Individual | Obstetrics & Gynecology Physician | Paradise, CA |
| 1255306098 | Richard Zumwalt | Individual | Dermatology Physician | Paradise, CA |
| 1477590453 | North State Radiology Medical Group Inc | Organization | Diagnostic Radiology Physician | Paradise, CA |
| 1578584769 | Jerome Wh Niswonger MD Inc | Organization | Optometrist | Paradise, CA |
Verify this record
Cross-check NPI 1245765924 against the authoritative CMS record: view Paradise Surgery Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Paradise Surgery Center?
Who is the authorized official for Paradise Surgery Center?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-05-01.