GENESIS AMBULATORY SURGERY CENTER, INC. (NPI# 1609108083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609108083 |
| Entity Type | Organization |
| Organization Name | GENESIS AMBULATORY SURGERY CENTER, INC. |
| Practice Address |
26781 Portola Pkwy Suite 4-e Foothill Ranch CA 92610-1758 |
| Mailing Address |
26781 Portola Pkwy Ste 4e Foothill Ranch CA 92610-1758 |
| Practice Telephone | 9492511502 |
| Practice Fax Number | 9492511522 |
| Mailing Telephone | 9498373000 |
| Mailing Fax Number | 9492973889 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2016-02-23 |
| Authorized Official Name | DR. YASSER HILMY SALEM (PRESIDENT) |
| Authorized Official Telephone | 9498373000 |
| Authorized Official Credential | MD |
| 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 |
26781 PORTOLA PKWY SUITE 4-E |
| City | FOOTHILL RANCH |
| State | CA |
| Zip Code | 92610-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407994270 | Foothill Ranch Surgi-center | Clinic/Center | 26781 Portola Pkwy, Suite 4e, Foothill Ranch, CA 92610-1758 | 2007-02-02 |
| 1619390614 | Tamar Rosner Davidson | Physician Assistant | 26781 Portola Pkwy, Foothill Ranch, CA 92610-1758 | 2014-01-27 |
| 1841563160 | Oc Urgent Care Medical Group Inc | Clinic/Center | 26781 Portola Pkwy, 4e, Foothill Ranch, CA 92610-1758 | 2012-02-16 |
| 1972643195 | Orange County Surgical Associates | Surgery | 26781 Portola Pkwy, Suite 4e, Foothill Ranch, CA 92610-1758 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406945 | Jane Swartz | Technician | 26322 Towne Centre Dr #617, #617, Foothill Ranch, CA 92610 | 2019-09-17 |
| 1982128807 | Arlyn P Sabado | Dietitian, Registered | 26371 Paloma Apt 35, Foothill Ranch, CA 92610 | 2017-08-02 |
| 1710408729 | Alberto Huerta | Specialist/Technologist | 11 Enfilade Ave, Foothill Ranch, CA 92610 | 2017-06-29 |
| 1932411022 | Aimee Katharine Belier Trujillo | Dentist | 45 Auto Center Dr Ste 110, Foothill Ranch, CA 92610 | 2010-07-06 |
| 1346453321 | Leonard Stephen Vaughan | Dentist | 26730 Towne Centre Drive, Suite 105, Foothill Ranch, CA 92610 | 2007-05-07 |
| 1619189586 | Dana M Roberts Dds Inc | Dentist | 26700 Towne Centre Drive, Suite 240, Lake Forest, CA 92610 | 2007-05-04 |
| 1336205376 | Global Wellness Medical Corporation | Family Medicine | 26740 Towne Centre Drive, Foothill Ranch, CA 92610 | 2006-12-27 |
| 1235229253 | Reagan and Pandhoh Dental Corporation | Dentist | 45 Auto Center Dr, Ste. 110, Foothill Ranch, CA 92610 | 2006-10-13 |
| 1306953229 | Sumeet S Pandhoh | Dentist | 45 Auto Center Drive, Ste. 110, Foothill Ranch, CA 92610 | 2006-08-24 |
| 1619987617 | Hootan M Daneshmand | Plastic Surgery | 27462 Portola Parkway, Suite 100, Foothill Ranch, CA 92610 | 2006-08-09 |
| Find all providers in zip 92610 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407994270 | Foothill Ranch Surgi-center | Clinic/Center | 26781 Portola Pkwy, Suite 4e, Foothill Ranch, CA 92610-1758 | 2007-02-02 |
| 1619499399 | Advanced Surgical Center of Foothill Ranch LLC | Clinic/Center | 27462 Portola Pkwy Ste 101, Foothill Ranch, CA 92610-2838 | 2017-07-13 |
| 1023421146 | Prime Surgical Center of Foothill Ranch | Clinic/Center | 27462 Portola Pkwy, Suite 100, Foothill Ranch, CA 92610-2838 | 2014-06-05 |
| 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 | FOOTHILL RANCH |
| Zip Code | 92610 |
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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.