SURGICAL AFFILIATES OF CALIFORNIA, INC. (NPI# 1508209909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508209909 |
| Entity Type | Organization |
| Organization Name | SURGICAL AFFILIATES OF CALIFORNIA, INC. |
| Practice Address |
100 Mission Blvd Suite B116 Jackson CA 95642-2536 |
| Mailing Address |
555 Capitol Mall Suite 260 Sacramento CA 95814-4504 |
| Practice Telephone | 9164410400 |
| Mailing Telephone | 9164410400 |
| Mailing Fax Number | 9164410406 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |
| Authorized Official Name | LEON J OWENS (CEO) |
| Authorized Official Telephone | 9164410400 |
| 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 |
| Street Address |
100 MISSION BLVD SUITE B116 |
| City | JACKSON |
| State | CA |
| Zip Code | 95642-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790777662 | Robert Ellsworth Young II | Obstetrics & Gynecology | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2005-08-17 |
| 1164794012 | Sutter Valley Hospitals | Clinical Medical Laboratory | 100 Mission Blvd, Jackson, CA 95642-2536 | 2012-02-07 |
| 1033499215 | April Michelle Boitano | Advanced Practice Midwife | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2011-08-19 |
| 1497058473 | Maureen Patricia Mooney-michels | Dietitian, Registered | 100 Mission Blvd, Outpatient Diabetes Education Program, Jackson, CA 95642-2536 | 2010-12-13 |
| 1295053833 | Aye Myat Moe | Pediatrics | 100 Mission Blvd, Suite 2600, Jackson, CA 95642-2536 | 2010-05-06 |
| 1861644635 | Melanie M Trowbridge | Psychologist | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2008-10-10 |
| 1760657720 | Yosemite Pathology Medical Group, Inc | Clinical Medical Laboratory | 100 Mission Blvd, Jackson, CA 95642-2536 | 2008-04-29 |
| 1679742951 | Rachel F Clay | Obstetrics & Gynecology | 100 Mission Blvd, Suite 2800, Jackson, CA 95642-2536 | 2008-02-21 |
| 1134293459 | Amy A. Appleton | Pediatrics | 100 Mission Blvd, Suite 2600, Jackson, CA 95642 | 2006-11-20 |
| 1477656932 | Vikram Ramkumar Kumar | Pediatrics | 100 Mission Blvd, Suite 2600, Jackson, CA 95642-2534 | 2006-09-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
| 1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
| 1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
| 1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
| 1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
| 1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
| 1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
| 1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
| 1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
| Find all providers in zip 95642 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821336371 | Eyecare Surgery Center, LLC | Clinic/Center | 1501 Lakeland Dr Ste 101, Jackson, MS 39216-4839 | 2013-01-17 |
| 1265618904 | Jackson Gastroenterology Center, LLC | Clinic/Center | 4400 Ann Arbor Road, Jackson, MI 49202 | 2008-01-11 |
| 1912099805 | Sapheneia Medical Minimally Invasive Therapy Institute | Clinic/Center | 932 N State St, Jackson, MS 39202-2613 | 2006-09-28 |
| 1588764989 | W. A. Foote Memorial Hospital, Inc. | Clinic/Center | 1125 E Michigan Ave, Jackson, MI 49201-1801 | 2006-09-25 |
| 1225096498 | Amador Surgery Center | Clinic/Center | 223 Clinton Road, Suite 204, Jackson, CA 95642-2680 | 2006-05-03 |
| 1558327213 | Surgicare of Jackson Ltd | Clinic/Center | 760 Lakeland Dr, Jackson, MS 39216-4610 | 2006-04-21 |
| 1588631832 | Surgical Services of Michigan, LLC | Clinic/Center | 2775 Blake Road, Jackson, MI 49201-8838 | 2006-03-07 |
| 1255303517 | St Dominic Ambulatory Surgery Center L L C | Clinic/Center | 970 Lakeland Dr, Suite 15, Jackson, MS 39216-4601 | 2006-02-02 |
| 1689651481 | Teton Outpatient Services LLC | Clinic/Center | 150 Buffalo Way, Jackson, WY 83001-2530 | 2005-12-22 |
| 1710591060 | Midsouth Interventional Pain Institute LLC | Clinic/Center | 2016 Greystone Sq, Jackson, TN 38305-3575 | 2020-09-03 |
| Find all providers in JACKSON | ||||
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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.