MEMORIALCARE SURGICAL CENTER AT SADDLEBACK, L.L.C. (NPI# 1356480099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356480099 |
| Entity Type | Organization |
| Organization Name | MEMORIALCARE SURGICAL CENTER AT SADDLEBACK, L.L.C. |
| Practice Address |
24411 Health Center Dr Suite 104 Laguna Hills CA 92653-3651 |
| Practice Telephone | 9494585600 |
| Practice Fax Number | 9494585634 |
| Mailing Telephone | 9494585600 |
| Mailing Fax Number | 9494585634 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-12-01 |
| Authorized Official Name | DR. CAROL KAMINSKAS (BOARD CHAIRPERSON) |
| Authorized Official Telephone | 9494585500 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | S051846 | 01 |
| Street Address |
24411 HEALTH CENTER DR SUITE 104 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-3651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314211 | Linda H Chung | Obstetrics & Gynecology | 24411 Health Center Dr, Suite 640, Laguna Hills, CA 92653-3651 | 2005-05-23 |
| 1326590902 | Prohealth Partners A Medical Group | Internal Medicine | 24411 Health Center Dr, Suite 430, Laguna Hills, CA 92653-3651 | 2016-10-28 |
| 1447708441 | Neurological Associates of Irvine, Saddleback Medical Center | Clinic/Center | 24411 Health Center Dr, Suite 330, Laguna Hills, CA 92653-3651 | 2016-09-19 |
| 1104278134 | Alyson Lin | Optometrist | 24411 Health Center Dr, Medical Tower, Suite 340, Laguna Hills, CA 92653-3651 | 2016-07-01 |
| 1760872378 | Ob/gyn Associates- Saddleback | Clinic/Center | 24411 Health Center Dr, Suite 330, Laguna Hills, CA 92653-3651 | 2015-02-03 |
| 1689094518 | Albert Orteza Antonio | Pediatrics | 24411 Health Center Dr, Laguna Hills, CA 92653-3651 | 2014-04-17 |
| 1225456742 | Jag Reddy Md Inc | Internal Medicine | 24411 Health Center Dr, Suite 620, Laguna Hills, CA 92653-3651 | 2014-04-01 |
| 1043649940 | Kathryn Pozzi | Nurse Practitioner | 24411 Health Center Dr, Laguna Hills, CA 92653-3651 | 2013-11-01 |
| 1932548310 | Kevin Nguyen | Student in an Organized Health Care Education/Training Program | 24411 Health Center Dr, Laguna Hills, CA 92653-3651 | 2013-06-19 |
| 1699032854 | William Davies Md A Medical Corporation | Internal Medicine | 24411 Health Center Dr, Suite 680, Laguna Hills, CA 92653-3651 | 2012-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407969561 | Saddleback Outpatient Surgery Center Ltd | Clinic/Center | 24302 Paseo De Valencia, Laguna Hills, CA 92653-3115 | 2006-08-15 |
| 1578160636 | Saddleback Pain and Surgical Center | Clinic/Center | 23521 Paseo De Valencia Ste 204, Laguna Hills, CA 92653-3101 | 2020-10-02 |
| 1508318411 | Interventional Spine Center, LLC | Clinic/Center | 24012 Calle De La Plata, Suite 130, Laguna Hills, CA 92653 | 2016-10-26 |
| 1245575919 | Memorial Care Surgical Center At Saddleback LLC | Clinic/Center | 24331 El Toro Rd, Suite 150, Laguna Hills, CA 92637-2752 | 2012-12-06 |
| 1518107937 | Alicia Surgery Center LLC | Clinic/Center | 25211 Paseo De Alicia, Suite 100, Laguna Hills, CA 92653-4614 | 2009-02-25 |
| 1265689046 | Mobisurg, Inc. | Clinic/Center | 23025 Mill Creek Dr, Laguna Hills, CA 92653-1257 | 2008-08-22 |
| 1942469226 | Surgery Center for Pain Intervention Inc | Clinic/Center | 23521 Paseo De Valencia, Suite 204, Laguna Hills, CA 92653-3107 | 2008-06-03 |
| 1306993464 | Pacific Hills Surgery Center LLC | Clinic/Center | 24022 Calle De La Plata, #180, Laguna Hills, CA 92653-3627 | 2007-01-04 |
| 1679631279 | Pacific Hills Surgery Center, Inc. | Clinic/Center | 24022 Calle De La Plata Ste 180, Laguna Hills, CA 92653-3627 | 2006-12-05 |
| 1417935206 | Digestive Disease Center, Lp | Clinic/Center | 24411 Health Center Dr, Suite 450, Laguna Hills, CA 92653-3633 | 2006-01-03 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on MEMORIALCARE SURGICAL CENTER AT SADDLEBACK, L.L.C..
| 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.