PALMDALE LANCASTER SURGERY CENTER (NPI# 1477502318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477502318 |
| Entity Type | Organization |
| Organization Name | PALMDALE LANCASTER SURGERY CENTER |
| Practice Address |
42442 10th St W Suite G Lancaster CA 93534-7067 |
| Practice Telephone | 6617293910 |
| Practice Fax Number | 6617293970 |
| Mailing Telephone | 6617293910 |
| Mailing Fax Number | 6617293970 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2008-09-17 |
| Authorized Official Name | ECKO BERNARDI (ADMINISTRATOR) |
| Authorized Official Telephone | 6617293910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
930000956 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SUR01504F | 05 |
| Street Address |
42442 10TH ST W SUITE G |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-7067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467786889 | Envision Surgery Center LLC | Clinic/Center | 42442 10th St W, Suite G, Lancaster, CA 93534-7067 | 2009-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013471754 | Advanced Surgery Center of Lancaster, LLC | Clinic/Center | 160 N Pointe Blvd Ste 105, Lancaster, PA 17601-4134 | 2019-01-28 |
| 1255872784 | Midatlantic Endoscopy LLC | Clinic/Center | 2112 Harrisburg Pike Ste 100, Lancaster, PA 17601-2644 | 2017-03-16 |
| 1033668587 | Lancaster Specialty Surgery Center | Clinic/Center | 3056 Columbus Lancaster Rd Nw, Lancaster, OH 43130-8126 | 2016-09-26 |
| 1396130514 | 15th Street Surgical Center, Inc. | Clinic/Center | 43821 15th St W, Lancaster, CA 93534-4756 | 2015-04-03 |
| 1902221021 | Reginald Sampson Md A Professional Corporation | Clinic/Center | 1741 W. Avenue J, Lancaster, CA 93534-2703 | 2014-02-26 |
| 1285907188 | Trinity Surgical Solutions, Inc | Clinic/Center | 44815 Fig Ave Ste 100, Lancaster, CA 93534-3144 | 2012-02-23 |
| 1619284536 | Childrens Surgery Center, LLC | Clinic/Center | 2160 Noll Dr, Lancaster, PA 17603-7603 | 2010-09-13 |
| 1639317399 | The Neurospine Center, LLC | Clinic/Center | 730 Eden Rd., Lancaster, PA 17601 | 2009-02-03 |
| 1598956088 | Orthopedic Surgery Center of Ellis County, LLC | Clinic/Center | 2400 W Pleasant Run Rd Ste 210, Lancaster, TX 75146-1179 | 2007-08-08 |
| 1629107164 | Hull Eye Surgery Center | Clinic/Center | 1739 W Avenue J, Lancaster, CA 93534-2703 | 2007-03-02 |
| Find all providers in LANCASTER | ||||
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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.