PARADISE SURGICAL ASSOCIATES (NPI# 1245371327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245371327 |
| Entity Type | Organization |
| Organization Name | PARADISE SURGICAL ASSOCIATES |
| Practice Address |
6480 Pentz Rd Suite A Paradise CA 95969-3672 |
| Practice Telephone | 5308774983 |
| Practice Fax Number | 5308778621 |
| Mailing Telephone | 5308774983 |
| Mailing Fax Number | 5308778621 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2014-02-21 |
| Authorized Official Name | DR. LYLE B HUNT (PARTNER) |
| Authorized Official Telephone | 5308774986 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G544660 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G544660 | 05 | |
| CA | BX | 660066807 | 01 |
| CA | BS HMO | G544660 | 01 |
| CA | TRICARE | 660066807 | 01 |
| CA | BLUE SHIELD | ZZZ97927A | 01 |
| CA | RR MEDICARE | 020004649 | 01 |
| Street Address |
6480 PENTZ RD SUITE A |
| City | PARADISE |
| State | CA |
| Zip Code | 95969-3672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043253321 | Rachel Carlson | Physician Assistant | 6480 Pentz Rd, Suite B, Paradise, CA 95969-3672 | 2006-06-14 |
| 1386806156 | Justin Hunt | Surgery | 6480 Pentz Rd, Suite A, Paradise, CA 95969-3672 | 2008-07-01 |
| 1023211778 | Ronald S Batin Md Inc | Internal Medicine | 6480 Pentz Rd, Suite C, Paradise, CA 95969-3672 | 2007-06-08 |
| 1730107400 | Susan L Mallory | Pediatrics | 6480 Pentz Rd, Suite E, Paradise, CA 95969-3672 | 2006-07-18 |
| 1457385791 | Samuel A Daniyan | Pediatrics | 6480 Pentz Rd, Suite E, Paradise, CA 95969-3672 | 2006-07-11 |
| 1588698872 | Lyle B Hunt | Surgery | 6480 Pentz Rd, Suite A, Paradise, CA 95969-3672 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234559 | Skala Chiropractic Inc | Chiropractor | 4413 Sierra Del Sol, Paradise, CA 95969 | 2019-03-19 |
| 1114463924 | Gary R Watts | Obstetrics & Gynecology | 5016 Lago Vista Way, Paradise, CA 95969 | 2017-01-18 |
| 1013367044 | Leslie Allison Bass | Registered Nurse | 1309 Nunneley Road, Paradise, CA 95969 | 2016-06-21 |
| 1457798977 | Lisa Marie Nelson | Counselor | 5910 Clark Road Suite 179, Paradise, CA 95969 | 2013-05-23 |
| 1700121597 | Ann Mary Sullivan | Marriage & Family Therapist | 955 Elliott Road, Paradise, CA 95969 | 2012-12-05 |
| 1255631693 | Paola Maria Mccarthy | Pharmacist | 6020 Clark Rd, Paradise, CA 95969 | 2010-11-02 |
| 1871821678 | Lisa Alison Franco | Occupational Therapist | 1633 Cypress Ln., Lifehouse/cypress, Paradise, CA 95969 | 2009-12-07 |
| 1700017548 | Michael C Reilly | Occupational Therapy Assistant | 1633 Cypress Lane, Paradise, CA 95969 | 2009-07-28 |
| 1992985899 | James D Salomone | Counselor | 7690 East Rd, Redwood Valley, CA 95969 | 2007-11-07 |
| 1548461619 | Paradise Ultrasound | Radiologic Technologist | 5921 Clark Rd, Ste. C, Paradise, CA 95969 | 2007-05-29 |
| Find all providers in zip 95969 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306156146 | Jacqueline S Gitman | Specialist | 691 Fir St, Paradise, CA 95969-4532 | 2010-10-14 |
| 1356548390 | Mark Edward Chorjel | Specialist | 4047 Neal Rd, Suite 3, Paradise, CA 95969-5758 | 2007-07-02 |
| 1306962147 | Michael Carden | Specialist | 6585 Clark Rd Ste 360, Paradise, CA 95969-3500 | 2007-03-22 |
| 1982652244 | David Teck Loong Ding | Specialist | 6083 Maxwell Dr, Paradise, CA 95969-4025 | 2006-05-05 |
| 1881883197 | Thomas Stewart Md Inc | Specialist | 6161 Clark Rd, Ste 6, Paradise, CA 95969-4164 | 2007-10-23 |
| 1245446244 | Richard P. Defrancisci M.d. Inc. | Specialist | 5125 Skyway, Paradise, CA 95969-5624 | 2007-05-15 |
| 1538247929 | Ridge Physical Therapy&wellness Center | Specialist | 5537 Black Olive Dr, Paradise, CA 95969-4609 | 2006-11-01 |
| 1386754299 | Jeffrey D Galland | Specialist | 5974 Pentz Rd, Paradise, CA 95969-5509 | 2006-08-30 |
| 1336259258 | Christopher A Gray | Specialist | 5974 Pentz Rd, Paradise, CA 95969-5509 | 2006-08-30 |
| 1871603787 | Timothy W Gleason | Specialist | 5974 Pentz Rd, Paradise, CA 95969-5509 | 2006-08-30 |
| Find all providers in PARADISE | ||||
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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.