RENAISSANCE SURGERY CENTER, LLC (NPI# 1013068642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013068642 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE SURGERY CENTER, LLC |
| Practice Address |
2365 E Fir Ave Fresno CA 93720-8016 |
| Practice Telephone | 5597979100 |
| Practice Fax Number | 5597979103 |
| Mailing Telephone | 5597979100 |
| Mailing Fax Number | 5597979103 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2018-09-11 |
| Authorized Official Name | JENETHA D MORAN (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
550000544 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780157990 | Renaissance Surgery Center, LLC | Clinic/Center | 320 Bristol West Blvd Ste 1a, Bristol, TN 37620-8773 | 2019-01-10 |
| 1174884530 | Renaissance Surgery Center, LLC | Clinic/Center | 461 Goffle Rd, Wyckoff, NJ 07481-3003 | 2012-06-01 |
| Street Address |
2365 E FIR AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-8016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124042924 | Kent Yamaguchi | Plastic Surgery | 2365 E Fir Ave, Fresno, CA 93720-8016 | 2006-07-26 |
| 1467940916 | Saint Agnes Spine & Specialty Surgery, LLC | Clinic/Center | 2365 E Fir Ave, Fresno, CA 93720-8016 | 2018-04-30 |
| 1649652777 | Hedieh Stefanacci, Md, Inc. | Plastic Surgery | 2365 E Fir Ave, Fresno, CA 93720-8016 | 2015-06-25 |
| 1376801365 | Rebecca Stickler Md Inc | Surgery | 2365 E Fir Ave, Fresno, CA 93720-8016 | 2012-04-26 |
| 1275785586 | Stefanacci Medical Corporation | Plastic Surgery | 2365 E Fir Ave, Fresno, CA 93720-8016 | 2008-10-17 |
| 1568622355 | Erich Stephan Lemker | Plastic Surgery | 2365 E Fir Ave, Fresno, CA 93720-8016 | 2008-06-15 |
| 1770693178 | Hedieh Stefanacci | Plastic Surgery | 2365 E Fir Ave, Fresno, CA 93720-8016 | 2006-08-30 |
| 1912015504 | Paul Stefanacci | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2365 E Fir Ave, Fresno, CA 93720-8016 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255722336 | Northwest Surgical Development of Fresno LLC | Clinic/Center | 7015 N Maple Ave, Ste 102, Fresno, CA 93720-8010 | 2015-02-11 |
| 1396005823 | Ldac Surgery Center, Inc | Clinic/Center | 6153 N Thesta St, Fresno, CA 93710-5266 | 2012-05-17 |
| 1699052886 | Downtown Dental Surgery Center of Fresno | Clinic/Center | 1045 S St, Fresno, CA 93721-1406 | 2011-11-16 |
| 1558672626 | California Colon and Rectal Cancer Screening Center LLC | Clinic/Center | 7121 N Whitney Ave, Fresno, CA 93720-0000 | 2010-06-23 |
| 1407016850 | Childrens Dental Surgery Center of Fresno Inc. | Clinic/Center | 3796 N Fresno St Ste 103, Fresno, CA 93726-5500 | 2008-06-10 |
| 1528236734 | Sierra Pacific Surgery Center Lp | Clinic/Center | 1630 E Herndon Avenue Ste 100, Fresno, CA 93720-3305 | 2008-02-11 |
| 1558417972 | Sierra Plastic Surgery Center Inc | Clinic/Center | 6153 N Thesta, Fresno, CA 93710-5266 | 2007-01-26 |
| 1336223585 | Peter T. Truong, M.d., Surgical Center, Inc. | Clinic/Center | 9497 N Fort Washington, 103, Fresno, CA 93730-0660 | 2006-10-24 |
| 1225123227 | Comprehensive Pain Management Center, Inc. | Clinic/Center | 7152 N Sharon #104, Fresno, CA 93720 | 2006-10-04 |
| 1982709572 | Vallarine Dental Corporation | Clinic/Center | 2828 Fresno St, Suite 100, Fresno, CA 93721-1327 | 2006-09-14 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on RENAISSANCE 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.