RANCHO CORDOVA SURGERY CENTER, LLC (NPI# 1124439419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124439419 |
| Entity Type | Organization |
| Organization Name | RANCHO CORDOVA SURGERY CENTER, LLC |
| Practice Address |
2893 Sunrise Blvd Ste 103 Rancho Cordova CA 95742-6527 |
| Practice Telephone | 9164004038 |
| Practice Fax Number | 9164004391 |
| Mailing Telephone | 9164004038 |
| Mailing Fax Number | 9164004391 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |
| Authorized Official Name | DR. ROMEL E VELASTEGUI (MANAGER/MEMBER) |
| Authorized Official Telephone | 9164004038 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
2893 SUNRISE BLVD STE 103 |
| City | RANCHO CORDOVA |
| State | CA |
| Zip Code | 95742-6527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629597265 | Christopher Michael Colbert Sr. | Counselor | 2025 Aerojet, Rancho Cordova, CA 95742 | 2017-09-14 |
| 1588185516 | Bautista Dental Corporation | Dentist | 4022 Sunrise Blvd,., Ste 160, Rancho Cordova, CA 95742 | 2017-06-29 |
| 1770011561 | Fatmeh A Jobay | Nurse Practitioner | 4040 Sunrise Blvd Ste 130, Rancho Cordova, CA 95742 | 2017-05-24 |
| 1881966273 | Trevor Nabholz | Chiropractor | 2708 Mercantile Dr., Rancho Cordova, CA 95742 | 2012-02-01 |
| 1518241470 | Edward Yuan | Pharmacist | 4050 Sunrise Blvd., Rancho Cordova, CA 95742 | 2011-10-10 |
| 1356538920 | Shannon Fistner | Counselor | 2025 Aerojet Rd, Rancho Cordova, CA 95742 | 2007-09-27 |
| 1679615348 | Owen Y Hsu | Optometrist | 11260 White Rock Road, Rancho Cordova, CA 95742 | 2007-02-12 |
| 1235249830 | Costco Wholesale Corporation | Pharmacy | 11260 White Rock Rd, Rancho Cordova, CA 95742 | 2006-08-30 |
| 1255617882 | Ani M Verrios | Pharmacist | 4050 Sunrise Blvd., Rancho Cordova, CA 95742 | 2011-10-27 |
| 1124302088 | Daniela Sam | Pharmacist | 4050 Sunrise Blvd, Rancho Cordova, CA 95742 | 2011-10-10 |
| Find all providers in zip 95742 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154849495 | Martel Eye Institute LLC | Clinic/Center | 11216 Trinity River Dr, Rancho Cordova, CA 95670-2968 | 2017-09-07 |
| 1629376207 | Martel Eye Institute LLC | Clinic/Center | 11216 Trinity River Dr, Rancho Cordova, CA 95670-2968 | 2011-03-07 |
| 1023161122 | Joseph R Martel Md Inc | Clinic/Center | 11216 Trinity River Dr, Rancho Cordova, CA 95670-2961 | 2007-01-19 |
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| 1366041469 | The Regents of The University of California | Clinic/Center | 4343 Lankershim Blvd Ste 210, North Hollywood, CA 91602-2705 | 2020-10-20 |
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1538775267 | Ev Surgery Institute LLC | Clinic/Center | 105 N Bascom Ave Ste 105, San Jose, CA 95128-1811 | 2020-09-18 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1811501661 | Precision Surgical Arts | Clinic/Center | 20311 Sw Birch St Ste 201, Newport Beach, CA 92660-1777 | 2020-08-31 |
| 1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
| 1740891571 | Peninsula Surgery Center, LLC | Clinic/Center | 350 Marine Pkwy Ste 100, Redwood City, CA 94065-5224 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO CORDOVA |
| Zip Code | 95742 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.