SURGICALIST OF CA PC (NPI# 1992341895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992341895 |
| Entity Type | Organization |
| Organization Name | SURGICALIST OF CA PC |
| Other Organization Name | THE SURGICALIST GROUP PLLC |
| Practice Address |
3300 E South St Ste 301a Lakewood CA 90805-4549 |
| Mailing Address |
Po Box 21647 Tampa FL 33622-1647 |
| Practice Telephone | 5629993940 |
| Mailing Telephone | 8138661959 |
| Mailing Fax Number | 8135305043 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2020-04-10 |
| Authorized Official Name | DR. MIT DESAI (CEO) |
| Authorized Official Telephone | 8135305043 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Surgicalist Group PLLC | Doing Business As Name - Organization |
| Street Address |
3300 E SOUTH ST STE 301A |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90805-4549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689098956 | Catholic Health Initiatives Colorado | Surgery | 11700 W 2nd Pl Ste 210, Lakewood, CO 80228-1716 | 2014-02-07 |
| 1710202783 | Catholic Health Initiatives Colorado | Surgery | 11700 West 2nd Place, Suite 210c, Lakewood, CO 80228 | 2010-04-02 |
| 1508196130 | David Swedler | Surgery | 11307 Bridgeport Way Sw Ste 220a, Lakewood, WA 98499 | 2010-01-04 |
| 1306093513 | Mohammed Zubair | Surgery | 1164 S Balsam Street, Lakewood, CO 80232 | 2008-08-20 |
| 1114113263 | Judith Lynn Williams | Surgery | 12610 W Bayaud Ave, #10, Lakewood, CO 80228-2022 | 2007-09-22 |
| 1881745172 | Emery J Chang LLC | Surgery | 11300 Bridgeport Way Sw, Unit C, Lakewood, WA 98499-3052 | 2007-01-15 |
| 1871694570 | Felix Shaoul Shamash | Surgery | 26 Pine Blvd, Lakewood, NJ 08701-5203 | 2006-09-26 |
| 1063527471 | Joseph Mark Evans | Surgery | 11311 Bridgeport Way Sw Ste 205, Lakewood, WA 98499-3051 | 2006-08-19 |
| 1477509784 | Steven G Duras | Surgery | 11307 Bridgept Way Sw, Ste 220-a, Lakewood, WA 98499-3024 | 2006-05-26 |
| 1083699227 | Marvin D Shie IIi | Surgery | 15644 Madison Avenue, Suite 107, Lakewood, OH 44107-5622 | 2005-12-09 |
| Find all providers in LAKEWOOD | ||||
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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.