SURINDRA N. MITRUKA, M.D. A MEDICAL CORPORATION (NPI# 1619264363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619264363 |
| Entity Type | Organization |
| Organization Name | SURINDRA N. MITRUKA, M.D. A MEDICAL CORPORATION |
| Practice Address |
1575 Soquel Dr Suite #c Santa Cruz CA 95065-1709 |
| Mailing Address |
2025 Soquel Ave Santa Cruz CA 95062-1323 |
| Practice Telephone | 8314586288 |
| Practice Fax Number | 8314779026 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2012-02-13 |
| Authorized Official Name | LAWRENCE DEGHETALDI (CEO/MD) |
| Authorized Official Telephone | 8314585695 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | G84058 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1575 SOQUEL DR SUITE #C |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871586610 | Robert K Allen | Colon & Rectal Surgery | 1575 Soquel Dr, Santa Cruz, CA 95065-1700 | 2005-08-26 |
| 1720472616 | Ryan J Schmitt | Physician Assistant | 1575 Soquel Dr, Suite C, Santa Cruz, CA 95065-1700 | 2015-03-27 |
| 1508095894 | Innovative Spine Surgery | Orthopaedic Surgery | 1575 Soquel Dr, B, Santa Cruz, CA 95065-1700 | 2009-07-08 |
| 1073780011 | Monterey Bay Urology Associates | Urology | 1575 Soquel Dr, Santa Cruz, CA 95065-1700 | 2008-05-09 |
| 1306988381 | Santa Cruz Radiation Oncology Medical Group, Incorporated | Radiology | 1575 Soquel Dr, Suite 100, Santa Cruz, CA 95065-1700 | 2007-02-13 |
| 1821145749 | Daniel G Manion | Physician Assistant | 1575 Soquel Dr, Ste C, Santa Cruz, CA 95065-1700 | 2007-01-04 |
| 1932260569 | Edmund L Sacks | Radiology | 1575 Soquel Dr, Santa Cruz, CA 95065-1700 | 2006-12-13 |
| 1013079649 | Charlotte Y Kim | Radiology | 1575 Soquel Dr, Santa Cruz, CA 95065-1700 | 2006-12-13 |
| 1720140353 | Jay A Meisel | Radiology | 1575 Soquel Dr, Santa Cruz, CA 95065-1700 | 2006-12-13 |
| 1508955634 | Akram Esmaeili | Physician Assistant | 1575 Soquel Dr, #b, Santa Cruz, CA 95065-1700 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1265084297 | Care From The Heart In Home Services, Inc. | In Home Supportive Care | 3141 Paul Sweet Road, Santa Cruz, CA 95065 | 2019-07-10 |
| 1215410188 | Barry Lynn Keeler | Pharmacist | Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 | 2018-09-07 |
| 1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
| 1124461587 | Lindsay Mooney | Obstetrics & Gynecology | 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 | 2013-04-16 |
| 1689911398 | Gabriela Alejandra Torres De Fernandez | Dentist | 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 | 2013-01-15 |
| 1184999211 | Shannon Leigh Purpuri | Midwife | 401 Happy Valley Rd, Santa Cruz, CA 95065 | 2012-03-22 |
| 1619119997 | Himabindu Pitta | Hospitalist | 1555 Soquel Dr., Santa Cruz, CA 95065 | 2009-04-01 |
| 1780834614 | Rym C Partridge | Dentist | 3337 Mission Dr., Santa Cruz, CA 95065 | 2008-09-29 |
| 1710177159 | Jill Bewley | Acupuncturist | 100 Burton Dr, Santa Cruz, CA 95065 | 2007-08-01 |
| Find all providers in zip 95065 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811055304 | Robert Poirier | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1575 C Soquel Drive, Santa Cruz, CA 95065 | 2006-12-05 |
| 1447230511 | Noel Fishman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2911 Chanticleer Ave, Santa Cruz, CA 95065-1815 | 2006-01-17 |
| 1861590382 | Surindra N Mitruka | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1575 Soquel Dr, Suite C, Santa Cruz, CA 95065-1700 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370728 | North County Cvt Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3156 Vista Way Ste 100, Oceanside, CA 92056-3694 | 2020-09-14 |
| 1417560756 | Valiana Vascular Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 | 2020-08-26 |
| 1891252474 | Miguel Puig Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade Ste 10, Chico, CA 95926-3366 | 2019-03-01 |
| 1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
| 1942797378 | Sharon A Bogerty Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 | 2018-04-20 |
| 1992231112 | Samer Kanaan Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 | 2017-05-08 |
| 1073065512 | Central California Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 | 2016-11-01 |
| 1407214612 | George Arnold Mulder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1150 Laurel St, Pasadena, CA 91103-2329 | 2016-02-02 |
| 1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
| 1386018687 | Riyad Youssef Tarazi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 | 2015-11-24 |
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| City | SANTA CRUZ |
| Zip Code | 95065 |
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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.