SKYWAY SURGERY CENTER. LLC (NPI# 1366456618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366456618 |
| Entity Type | Organization |
| Organization Name | SKYWAY SURGERY CENTER. LLC |
| Practice Address |
121 Raley Blvd Chico CA 95928-8347 |
| Practice Telephone | 5302302000 |
| Practice Fax Number | 5308988142 |
| Mailing Telephone | 5302302000 |
| Mailing Fax Number | 5308988142 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2009-11-11 |
| Authorized Official Name | MRS. EDITH FISCHER (ADMINISTRATOR) |
| Authorized Official Telephone | 5302302007 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
23000358 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SUR01663F | 05 | |
| CA | STATE LICENSE | 23000358 | 01 |
| Street Address |
121 RALEY BLVD |
| City | CHICO |
| State | CA |
| Zip Code | 95928-8347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487686903 | Randall Winston Waring | Anesthesiology | 121 Raley Blvd, Chico, CA 95928-8347 | 2006-07-07 |
| 1861634461 | Randall W Waring, M.d.,inc. | Specialist | 121 Raley Blvd, Skyway Surgery Center, Chico, CA 95928-8347 | 2009-03-27 |
| 1548485832 | Bradley Dene Tym | Anesthesiology | 121 Raley Blvd, Chico, CA 95928-8347 | 2007-04-13 |
| 1770666034 | Anesthesia Associates of Chico | Anesthesiology | 121 Raley Blvd, Chico, CA 95928-8347 | 2006-10-23 |
| 1730101908 | Raymond Arthur Yip | Anesthesiology | 121 Raley Blvd, Chico, CA 95928-8347 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232672 | Mary Ester Potts | Behavior Technician | 1611 Chico River Road, Chico, CA 95928 | 2020-07-09 |
| 1679105605 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1910 E. 20th Street, Chico, CA 95928 | 2020-02-07 |
| 1790250306 | Amy Groven | Counselor | 7 Williamsburg Lane, Chico, CA 95928 | 2018-10-10 |
| 1093217424 | Bonnie Jo Nelson | Registered Nurse | 91 Elderberry Court, Chico, CA 95928 | 2018-03-01 |
| 1174039036 | Deer Creek Surgery Center LLC | Clinic/Center | 127 Raley Blvd., Chico, CA 95928 | 2017-12-14 |
| 1174063606 | Erika Beteran | Counselor | 344 W 8th St, Chico, CA 95928 | 2017-03-02 |
| 1356723266 | Arjun S Sandhu | Podiatrist | 1806 Foundation Lane, Chico, CA 95928 | 2015-06-26 |
| 1912394735 | Kirk Bjella | Pediatrics | 1515 Springfield Dr, Children's Health Center, Chico, CA 95928 | 2015-04-20 |
| 1215346309 | Kathleen Renee Dahlstrom | Marriage & Family Therapist | 315 Wall St Ste 5, Chico, CA 95928 | 2014-08-04 |
| 1740696574 | Northern Valley Catholic Social Service, Inc. | Case Management | 1297 Park Avenue, Chico, CA 95928 | 2014-07-01 |
| Find all providers in zip 95928 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174039036 | Deer Creek Surgery Center LLC | Clinic/Center | 127 Raley Blvd., Chico, CA 95928 | 2017-12-14 |
| 1073713004 | Advanced Eye Surgery Center | Clinic/Center | 627 W. East Ave, Chico, CA 95926 | 2007-07-18 |
| 1164577219 | L Richard Morgan M.d. | Clinic/Center | 18 Williamsburg Ln, Chico, CA 95926-2225 | 2007-01-25 |
| 1164421004 | Chico Surgery Center Lp | Clinic/Center | 615 W East Ave, Chico, CA 95926-7201 | 2005-07-20 |
| 1306475645 | Norcal Anesthesia and Pain Affiliates, Inc. | Clinic/Center | 615 W East Ave, Chico, CA 95926-7201 | 2020-04-08 |
| 1811491624 | Park West Surgical Associates, Inc. | Clinic/Center | 127 Raley Blvd., Chico, CA 95928 | 2018-03-19 |
| 1881132470 | Norcal Anesthesia and Pain Affiliates, Inc. | Clinic/Center | 615 W East Ave, Chico, CA 95926-7201 | 2017-02-03 |
| 1831644673 | Northstate Plastic Surgery Center | Clinic/Center | 1260 East Ave, Chico, CA 95926-1021 | 2016-08-22 |
| 1477897247 | L. Richard Morgan, M.d., Inc. | Clinic/Center | 18 Williamsburg Ln, Chico, CA 95926-2225 | 2012-11-19 |
| 1538487608 | Interventional Pain Solutions PC | Clinic/Center | 10 Governors Ln, Chico, CA 95926-1991 | 2010-05-13 |
| Find all providers in CHICO | ||||
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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.