EASTLAKE SURGERY CENTER (NPI# 1457535395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457535395 |
| Entity Type | Organization |
| Organization Name | EASTLAKE SURGERY CENTER |
| Practice Address |
890 Eastlake Pkwy Suite #100 Chula Vista CA 91914-4520 |
| Practice Telephone | 6192168000 |
| Practice Fax Number | 6192163223 |
| Mailing Telephone | 6192168000 |
| Mailing Fax Number | 6192163223 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |
| Authorized Official Name | NOJAN TALEBZADEH (OWNER) |
| Authorized Official Telephone | 6192168000 |
| Authorized Official Credential | M.D.,D.M.D, J.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A064127 | CA | Ambulatory Health Care Facilities |
| Street Address |
890 EASTLAKE PKWY SUITE #100 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91914-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053320556 | Daniel Cepin | Internal Medicine | 890 Eastlake Pkwy, Suite 205, Chula Vista, CA 91914-4520 | 2006-08-05 |
| 1477869956 | Daniel Cepin, M.d. | Internal Medicine | 890 Eastlake Pkwy, Suite 205, Chula Vista, CA 91914-4520 | 2010-08-23 |
| 1003148222 | Victoria R. Oira Md, Faap, Inc. | Pediatrics | 890 Eastlake Pkwy, 203, Chula Vista, CA 91914-4520 | 2010-02-12 |
| 1821223934 | Eduardo Diaz Dental Corporation | Clinic/Center | 890 Eastlake Pkwy, Suite 303, Chula Vista, CA 91914-4520 | 2009-05-18 |
| 1972516151 | Francisco Martinez | Internal Medicine | 890 Eastlake Pkwy, Suite 301, Chula Vista, CA 91914-4520 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447785811 | Tania Marie Beaudoin | Social Worker | 2580 Catamaran Way Ste 103, Chula Vista, CA 91914 | 2017-04-24 |
| 1477090447 | Leaha Elrod | Speech-Language Pathologist | 2985 Stevenson Ranch Ct, Chula Vista, CA 91914 | 2017-01-27 |
| 1205382934 | Jessica Lexanne Morris | Occupational Therapy Assistant | 861 Harold Pl, Chula Vista, Chula Vista, CA 91914 | 2016-09-01 |
| 1821457169 | Eagles Wings Home Care Inc. | Clinic/Center | 2529 Saddlehorn Dr., Chula Vista, CA 91914 | 2016-02-15 |
| 1609217355 | Joanna Sarao Songcuan | Marriage & Family Therapist | 2400 Fenton St Ste 217, Chula Vista, CA 91914 | 2013-07-10 |
| 1891043477 | Deanna Risos Dmd,pc. | Dentist | 841 Kuhn Dr. Ste # 102, Chula Vista, CA 91914 | 2012-08-29 |
| 1417262718 | Lisa Alvarez | Nurse Practitioner | 891 Bryce Ave, Chula Vista, CA 91914 | 2010-08-11 |
| 1164669123 | Guadalupe Marquez | Dentist | 2452 Fenton St Ste 200, Chula Vista, CA 91914 | 2009-01-13 |
| 1750537379 | Christina Marie Morris | Registered Nurse | 595 Northbrook Ave., Chula Vista, CA 91914 | 2008-08-14 |
| 1114113008 | Adrian Avila | Marriage & Family Therapist | 2560 Catamaran Way, Chula Vista, CA 91914 | 2007-09-24 |
| Find all providers in zip 91914 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568814010 | Surgery Center of California -llc | Clinic/Center | 835 3rd Ave Ste A, Chula Vista, CA 91911-1352 | 2016-07-08 |
| 1659657856 | Alfa Surgery Center, LLC | Clinic/Center | 256 Landis Ave, Ste 100, Chula Vista, CA 91910-2650 | 2011-11-01 |
| 1649476805 | Ruben Edward Sanchez | Clinic/Center | 754 Medical Center Ct, Suite 203, Chula Vista, CA 91911-6654 | 2007-06-25 |
| 1376595421 | Otay Lakes Surgery Center, LLC | Clinic/Center | 955 Lane Ave, Suite 100, Chula Vista, CA 91914-3501 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384303 | Abroms Dougherty Vision Asc LLC | Clinic/Center | 4472 Broad St Ste 150, San Luis Obispo, CA 93401-7933 | 2020-10-23 |
| 1861091993 | Willow Vista Surgical Center | Clinic/Center | 39810 Portola Ave, Palm Desert, CA 92260-0624 | 2020-10-20 |
| 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 | CHULA VISTA |
| Zip Code | 91914 |
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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.