ST CHARLES SURGICAL CENTER (NPI# 1912362955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912362955 |
| Entity Type | Organization |
| Organization Name | ST CHARLES SURGICAL CENTER |
| Practice Address |
550 Saint Charles Dr Suite 101 Thousand Oaks CA 91360-3951 |
| Practice Telephone | 8055577050 |
| Practice Fax Number | 8055574992 |
| Mailing Telephone | 8055577050 |
| Mailing Fax Number | 8055574992 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |
| Authorized Official Name | DR. JAMES THOMAS LIN (CEO/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8055577050 |
| 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 |
550 SAINT CHARLES DR SUITE 101 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91360-3951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657813 | Telesis Physical Therapy, Inc. | Physical Therapist | 550 Saint Charles Dr, Ste 100, Thousand Oaks, CA 91360-3969 | 2005-05-31 |
| 1073033924 | Jensen Domingo Manabat | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 550 Saint Charles Dr, Thousand Oaks, CA 91360-3951 | 2017-06-21 |
| 1871842021 | Hannah R Silverman | Physical Therapist | 550 Saint Charles Dr, Suite #100, Thousand Oaks, CA 91360-3951 | 2012-09-04 |
| 1841560620 | Crista Taylor | Physical Therapist | 550 Saint Charles Dr, Suite #100, Thousand Oaks, CA 91360-3951 | 2012-01-10 |
| 1033421672 | Cara Rademaker | Physical Therapist | 550 Saint Charles Dr, Suite #100, Thousand Oaks, CA 91360-3951 | 2010-07-12 |
| 1881924470 | Bryan D Arias | Physical Therapist | 550 Saint Charles Dr, Suite #100, Thousand Oaks, CA 91360-3951 | 2010-01-05 |
| 1215190665 | Ranju K Punnoose | Physical Therapist | 550 Saint Charles Dr, Suite #100, Thousand Oaks, CA 91360-3951 | 2008-07-07 |
| 1164629051 | Ritecare Medical Company, Inc. | Durable Medical Equipment & Medical Supplies | 550 Saint Charles Dr, Ste 101 B, Thousand Oaks, CA 91360-3996 | 2007-07-02 |
| 1508067299 | Jack L. Doman Jr. | Marriage & Family Therapist | 550 Saint Charles Dr, Suite 101a, Thousand Oaks, CA 91360-3951 | 2007-05-30 |
| 1154537421 | Meridian Hand Therapy Inc | Durable Medical Equipment & Medical Supplies | 550 Saint Charles Dr, Suite 100, Thousand Oaks, CA 91360-3951 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633953 | Rhandi Walters | Marriage & Family Therapist | 208 E Thousand Oaks Blvd, Suite D, Thousand Oaks, CA 91360 | 2020-09-09 |
| 1942709837 | Stephanie Renee Neri | Behavior Technician | 325 E Hillcrest Dr Suite 140, Thousand Oaks, CA 91360 | 2018-02-06 |
| 1104340652 | Fernando Antonio Castaneda | Student in an Organized Health Care Education/Training Program | 325 E Hillcrest Dr Ste 140, Thousand Oaks, CA 91360 | 2017-07-26 |
| 1023548989 | Anna Garduno | Specialist/Technologist | 3680 Campus Drive, Thousand Oaks, CA 91360 | 2017-06-14 |
| 1467996306 | Ava Shokoufi | Marriage & Family Therapist | 280 E Thousand Oaks Blvd Suite D, Thousand Oaks, CA 91360 | 2016-12-12 |
| 1649621517 | Sandy Lynn Mcglynn | Social Worker | 460 East Gainsborough Road, Thousand Oaks, CA 91360 | 2016-06-22 |
| 1316363476 | Lorraine Jordan | Family Medicine | 1331 Witherspoon Dr, Thousand Oaks, CA 91360 | 2014-03-13 |
| 1841612033 | Katherine Snyder | Counselor | 280 East Thousand Oaks Blvd. Suite D, Thousand Oaks, CA 91360 | 2014-01-08 |
| 1235567397 | Christine Maria Katzenmaier | Speech-Language Pathologist | 223 E. Thousand Oaks Blvd, Thousand Oaks, CA 91360 | 2013-10-28 |
| 1912335233 | Lena Ameripour | Behavioral Analyst | 315 E. Hillcrest Dr., Thousand Oaks, CA 91360 | 2013-10-23 |
| Find all providers in zip 91360 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689224370 | Curasafe Outpatient Surgery Center LLC | Clinic/Center | 311 Haigh Rd Ste 101, Thousand Oaks, CA 91320-3500 | 2019-09-16 |
| 1457917320 | Integrated Surgical Center | Clinic/Center | 550 Saint Charles Dr Ste 101, Thousand Oaks, CA 91360-3971 | 2019-05-15 |
| 1326500703 | Saxon Surgery Center, LLC | Clinic/Center | 430 E Avenida De Los Arboles Ste 101, Thousand Oaks, CA 91360-3017 | 2019-04-03 |
| 1679949234 | Center for Advanced Plastic Surgery Inc. | Clinic/Center | 947 E Thousand Oaks Blvd, Thousand Oaks, CA 91360-6059 | 2015-08-18 |
| 1740470053 | Skin Surgery Center, A Medical Corporation | Clinic/Center | 267 W Hillcrest Drive, Thousand Oaks, CA 91360 | 2007-08-01 |
| 1023159860 | Thousand Oaks Surgery Center, LLC | Clinic/Center | 1120 Newbury Rd Ste 100, Thousand Oaks, CA 91320-3663 | 2007-02-12 |
| 1255472841 | Lynn Eye Surgicenter | Clinic/Center | 2230 Lynn Rd Ste 106, Thousand Oaks, CA 91360-1972 | 2007-02-08 |
| 1356493126 | Thousand Oaks Surgical Institute, A.m.c | Clinic/Center | 375 Rolling Oaks Dr Ste 110, Thousand Oaks, CA 91361-1034 | 2007-01-18 |
| 1447215850 | Saxon Surgical Center Inc | Clinic/Center | 430 East Avenida De Los Arboles, Suite 101, Thousand Oaks, CA 91360 | 2006-04-19 |
| 1316936016 | Westlake Spine & Outpatient Surgery Center | Clinic/Center | 339 S Moorpark Rd, Suite 339, Thousand Oaks, CA 91361-1008 | 2005-10-17 |
| Find all providers in THOUSAND OAKS | ||||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
Please comment or provide details below to improve the information on ST CHARLES SURGICAL CENTER.
| 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.