VIP SURGICARE, LLC (NPI# 1053612853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053612853 |
| Entity Type | Organization |
| Organization Name | VIP SURGICARE, LLC |
| Other Organization Name | VIP SURGICARE |
| Practice Address |
15047 Los Gatos Blvd. Suite 150 Los Gatos CA 95032 |
| Practice Telephone | 4083587000 |
| Practice Fax Number | 4083587005 |
| Mailing Telephone | 4083587000 |
| Mailing Fax Number | 4083587005 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2019-01-29 |
| Authorized Official Name | KIRK ANTHONY CHURUKIAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4083587000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
AAAASF2911 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | CA129324 | 01 |
| Other Name | Type Code |
|---|---|
| VIP Surgicare | Doing Business As Name - Organization |
| Street Address |
15047 LOS GATOS BLVD. SUITE 150 |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730157 | Stephanie Chui | Optometrist | 15055 Los Gatos Blvd Ste 300, Los Gatos, CA 95032 | 2018-05-16 |
| 1710474960 | Lisa Richardson | Dietitian, Registered | 15405 Los Gatos Blvd #101, Los Gatos, CA 95032 | 2018-04-13 |
| 1235652934 | Nillofar Tabibi | Pharmacist | 1496 Pollard Road, Los Gatos, CA 95032 | 2017-07-25 |
| 1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
| 1942755418 | Michelle Sunalp | Physician Assistant | 14830 Los Gatos Blvd, Suite 300, Los Gatos, CA 95032 | 2016-08-24 |
| 1295196640 | Mandice Williams | Chiropractor | 236 Oak Meadow Dr, Los Gatos, CA 95032 | 2016-03-14 |
| 1922465020 | Los Gatos Dental Specialists | Dentist | 15075 Los Gatos Blvd, Ste 120, Los Gatos, CA 95032 | 2016-01-20 |
| 1962881813 | Los Gatos Snf, LLC | Skilled Nursing Facility | 16605 Lark Ave., Los Gatos, CA 95032 | 2015-05-26 |
| 1720404312 | Jonathan Davies | Physician Assistant | 15466 Los Gatos Blvd Ste 109-353, Los Gatos, CA 95032 | 2014-03-06 |
| 1588002612 | Jessica Velasco Gutierrez | Licensed Vocational Nurse | 634 W Parr Ave #116, Los Gatos, CA 95032 | 2013-06-11 |
| Find all providers in zip 95032 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801859970 | Los Gatos Surgical Center, A California Limited Partnership | Clinic/Center | 15195 National Ave Ste 100, Los Gatos, CA 95032-2631 | 2006-04-10 |
| 1881662856 | Silicon Valley Surgery Center, Lp | Clinic/Center | 14601 S Bascom Ave, Suite 100, Los Gatos, CA 95032-2043 | 2006-03-08 |
| 1215238076 | Knowles Surgery Center LLC | Clinic/Center | 555 Knowles Dr, Suite 115, Los Gatos, CA 95032-1549 | 2010-11-10 |
| 1649500950 | National Ambulatory Surgery Center, LLC | Clinic/Center | 15251 National Ave, Suite 207, Los Gatos, CA 95032-2400 | 2010-01-08 |
| 1780862896 | South Bay Surgery Center, Inc. | Clinic/Center | 15151 National Ave, Los Gatos, CA 95032 | 2008-01-31 |
| 1003940594 | Asc Nca | Clinic/Center | 15151 National Ave, Los Gatos, CA 95032-2627 | 2007-03-15 |
| 1588745921 | Aesthetica Plastic Surgicenter | Clinic/Center | 15251 National Ave, Suite 207, Los Gatos, CA 95032-2400 | 2006-10-18 |
| 1750487906 | Paul Indman, M.d. Surgical Facility, Inc | Clinic/Center | 15195 National Ave, Ste 201, Los Gatos, CA 95032-2631 | 2006-09-15 |
| 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 | ||||
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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.