PLASTICARE SURGERY CENTER LLC (NPI# 1437402054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437402054 |
| Entity Type | Organization |
| Organization Name | PLASTICARE SURGERY CENTER LLC |
| Other Organization Name | PLASTICARE SURGERY CENTER |
| Practice Address |
920 East Wardlow Road Long Beach CA 90807-4630 |
| Practice Telephone | 5624278944 |
| Practice Fax Number | 5624274086 |
| Mailing Telephone | 5624278944 |
| Mailing Fax Number | 5624274086 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |
| Authorized Official Name | IKONIJA SEKULOVICH JOY (DIRECTOR PLASTICARE SURGERY CENTER) |
| Authorized Official Telephone | 5624278944 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | G25370 | CA | Allopathic & Osteopathic Physicians |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1386(AAAASF) | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Plasticare Surgery Center | Former Legal Business Name - Organization |
| Street Address |
920 EAST WARDLOW ROAD |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598393076 | Estea Ambulatory Surgery Center, LLC | Clinic/Center | 3440 Atlantic Ave Ste 3, Long Beach, CA 90807-4568 | 2020-03-30 |
| 1750768537 | Wrigley Medical Surgicenter, LLC | Clinic/Center | 2240 Pacific Ave, Long Beach, CA 90806-4372 | 2015-04-30 |
| 1902211477 | Westview Medical Surgical Center, LLC | Clinic/Center | 2990 E Pacific Coast Hwy Ste B, Long Beach, CA 90804-1632 | 2014-06-24 |
| 1881834596 | Long Beach Out Pt Surgery Center | Clinic/Center | 2370 Long Beach Blvd, Long Beach, CA 90806-3260 | 2009-02-20 |
| 1851508667 | South Bay Surgical and Spine Institute | Clinic/Center | 4300 Long Beach Blvd Ste 150, Long Beach, CA 90807-2016 | 2007-05-17 |
| 1982821708 | Wardlow Surgery Center | Clinic/Center | 200 W Wardlow Rd, Long Beach, CA 90807-4429 | 2007-04-20 |
| 1124187208 | Surgical Suite of Southern California, A Medical Corporation | Clinic/Center | 1040 Elm Ave Ste 100, Long Beach, CA 90813-3265 | 2006-12-06 |
| 1154310753 | Long Beach Pain Center & Medical Clinic | Clinic/Center | 2760 Pacific Ave, Long Beach, CA 90806-2613 | 2005-10-17 |
| 1043217615 | Long Beach Surgery Center, Lp | Clinic/Center | 2880 Atlantic Avenue, Suite 160, Long Beach, CA 90806-1715 | 2005-06-28 |
| 1033686951 | Xcell Surgery Center LLC | Clinic/Center | 200 W Wardlow Rd, Long Beach, CA 90807-4429 | 2018-10-29 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
Please comment or provide details below to improve the information on PLASTICARE SURGERY CENTER LLC.
| 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.