VENTANA SURGICAL CENTER, LLC (NPI# 1013438563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013438563 |
| Entity Type | Organization |
| Organization Name | VENTANA SURGICAL CENTER, LLC |
| Other Organization Name | VENTANA SURGICAL CENTER |
| Practice Address |
18133 Ventura Blvd Ste 400 Tarzana CA 91356-3645 |
| Practice Telephone | 8184620280 |
| Practice Fax Number | 8186686239 |
| Mailing Telephone | 8184620280 |
| Mailing Fax Number | 8186686239 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | ERIC BOON (OFFICER / AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 4805670269 |
| 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 |
| Other Name | Type Code |
|---|---|
| Ventana Surgical Center | Other Name - Individual/Organization |
| Street Address |
18133 VENTURA BLVD STE 400 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134746456 | Equity Anesthesia | Anesthesiology | 18133 Ventura Blvd Ste 400, Tarzana, CA 91356-3645 | 2020-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619502283 | Vytal Surgical Institute | Clinic/Center | 19218 Ventura Blvd, Tarzana, CA 91356-3101 | 2020-03-04 |
| 1356543656 | Avanguard Surgery Center, LLC | Clinic/Center | 5620 Wilbur Ave Ste 207, Tarzana, CA 91356-1309 | 2007-05-31 |
| 1669551941 | Solis Surgical Arts Center | Clinic/Center | 5620 Wilbur Ave. Suite 319, Tarzana, CA 91356-1351 | 2006-11-06 |
| 1801419288 | Bionic Surgery Center | Clinic/Center | 5620 Wilbur Ave Ste 305, Tarzana, CA 91356-1311 | 2020-05-20 |
| 1720457211 | Noveon Surgery Center | Clinic/Center | 5620 Wilbur Ave, Suite 305, Tarzana, CA 91356-1351 | 2015-09-15 |
| 1700268372 | Tarzana Surgery Center, Inc. | Clinic/Center | 18370 Burbank Blvd, #100, Tarzana, CA 91356-2804 | 2015-06-19 |
| 1033547062 | Mee Ambulatory Surgery Center Inc | Clinic/Center | 18425 Burbank Blvd., Suite 105-a, Tarzana, CA 91356-2868 | 2013-10-30 |
| 1538451760 | Brand Tarzana Surgical Institute Inc | Clinic/Center | 5620 Wilbur Ave, #305, Tarzana, CA 91356-1351 | 2011-05-05 |
| 1427369503 | Mount Sinai Surgery Center LLC | Clinic/Center | 18425 Burbank Blvd, Suite 105, Tarzana, CA 91356-2806 | 2010-06-23 |
| 1174611982 | Tarzana Surgery Center, Inc. | Clinic/Center | 18425 Burbank Blvd, Ste. 105, Tarzana, CA 91356-2806 | 2006-10-10 |
| Find all providers in TARZANA | ||||
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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.