HACIENDA SURGERY CENTER, LLC (NPI# 1780853044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780853044 |
| Entity Type | Organization |
| Organization Name | HACIENDA SURGERY CENTER, LLC |
| Practice Address |
4626 Willow Rd Pleasanton CA 94588-2710 |
| Mailing Address |
2927 De La Vina St Santa Barbara CA 93105-3362 |
| Practice Telephone | 8056797557 |
| Mailing Telephone | 8056797557 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |
| Authorized Official Name | DAVID W ODELL (MANAGER) |
| Authorized Official Telephone | 8056797557 |
| 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 |
4626 WILLOW RD |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801891932 | Alexandra M Burgar | Orthopaedic Surgery | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8517 | 2005-06-16 |
| 1215534052 | Jeffrey Liang | Physical Therapist | 4626 Willow Rd, Pleasanton, CA 94588-8517 | 2020-10-05 |
| 1750820965 | Mariko Elizabeth Lightner | Registered Nurse | 4626 Willow Rd, Pleasanton, CA 94588-8517 | 2017-02-21 |
| 1972971141 | Aaron Platfoot | Specialist | 4626 Willow Rd, Pleasanton, CA 94588-8517 | 2015-09-04 |
| 1821466087 | Naomi Patel | Peer Specialist | 4626 Willow Rd, Pleasanton, CA 94588-8517 | 2015-09-04 |
| 1346649480 | Hacienda Outpatient Surgery Center, LLC | Clinic/Center | 4626 Willow Rd, Suite 100, Pleasanton, CA 94588-8517 | 2014-08-14 |
| 1871903286 | Jennifer Miller | Physical Therapist | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8517 | 2014-05-07 |
| 1679869515 | Anthony J. Porter Jr. | Orthopaedic Surgery | 4626 Willow Rd, Pleasanton, CA 94588 | 2011-06-20 |
| 1861634131 | Leslie A Desrosiers | Physical Therapist | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-2710 | 2009-04-01 |
| 1184808156 | Tri-valley Orthopedic and Sports Medical Group Inc | Physical Therapist | 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-2710 | 2007-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346649480 | Hacienda Outpatient Surgery Center, LLC | Clinic/Center | 4626 Willow Rd, Suite 100, Pleasanton, CA 94588-8517 | 2014-08-14 |
| 1619318391 | Summit Surgery Center LLC | Clinic/Center | 5924 Stoneridge Dr, 206, Pleasanton, CA 94588-2887 | 2013-07-10 |
| 1841315819 | Pleasanton Surgery Center, LLC | Clinic/Center | 1393 Santa Rita Rd, Suite F, Pleasanton, CA 94566-5665 | 2007-03-20 |
| 1790835130 | Trivalley Outpatient Surgery Center | Clinic/Center | 4487 Stoneridge Dr, Pleasanton, CA 94588-8326 | 2007-01-10 |
| 1598855033 | East Bay Surgery Center | Clinic/Center | 1393 Santa Rita Rd, Pleasanton, CA 94566-5665 | 2006-10-13 |
| 1043249972 | Plastic and Reconstructive Surgery | Clinic/Center | 1387 Santa Rita Rd, Pleasanton, CA 94566-5643 | 2006-07-02 |
| 1922049881 | Tri-valley Surgery Center, L.p. | Clinic/Center | 4487 Stoneridge Dr, Pleasanton, CA 94588-8326 | 2006-06-09 |
| 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 | PLEASANTON |
| Zip Code | 94588 |
Please comment or provide details below to improve the information on HACIENDA SURGERY CENTER, LLC.
| 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.