SPECIALTY CARE AND SURGERY CENTER (NPI# 1073648630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073648630 |
| Entity Type | Organization |
| Organization Name | SPECIALTY CARE AND SURGERY CENTER |
| Practice Address |
5685 Main St Kelseyville CA 95451-8945 |
| Practice Telephone | 7072798733 |
| Practice Fax Number | 7072798731 |
| Mailing Telephone | 7072798733 |
| Mailing Fax Number | 7072798731 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2015-07-08 |
| Authorized Official Name | PAULA R DHANDA (PHYSICIAN) |
| Authorized Official Telephone | 7072798733 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
G6256 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G625260 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700276003 | Specialty Care and Surgery Center | Clinic/Center | 5685 Main St, Kelseyville, CA 95451-8945 | 2015-01-26 |
| 1184844607 | Specialty Care and Surgery Center | Clinic/Center | 5685 Main St, Kelseyville, CA 95451-8945 | 2007-04-26 |
| Street Address |
5685 MAIN ST |
| City | KELSEYVILLE |
| State | CA |
| Zip Code | 95451-8945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922172915 | Paul Seymour Farley | Family Medicine | 5685 Main St, Kelseyville, CA 95451-8945 | 2006-11-20 |
| 1700276003 | Specialty Care and Surgery Center | Clinic/Center | 5685 Main St, Kelseyville, CA 95451-8945 | 2015-01-26 |
| 1952660029 | Margaret J Landini | Occupational Therapist | 5685 Main St, Kelseyville, CA 95451-8945 | 2012-05-10 |
| 1972876027 | Quincy C Andrus | Physician Assistant | 5685 Main St, Kelseyville, CA 95451-8945 | 2012-02-21 |
| 1184844607 | Specialty Care and Surgery Center | Clinic/Center | 5685 Main St, Kelseyville, CA 95451-8945 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487705315 | Carol A. Richards Psyd. | Local Education Agency (LEA) | 3970 Main St., Suite 4, Kelseyville, CA 95451 | 2007-01-16 |
| 1316972425 | Paula R Dhanda | Obstetrics & Gynecology | 5685 Main Street, Kelseyville, CA 95451 | 2006-07-11 |
| 1407812019 | Bradley James Smith | Physical Therapist | 5289 State St, Kelseyville, CA 95451 | 2006-04-22 |
| 1851853691 | Pearly Pearly Karunakaran | Dietitian, Registered | 1995 Eastlake Dr, Kelseyville, CA 95451-7012 | 2019-04-02 |
| 1548796055 | Michelle Kay Givens | Physical Therapist | 2718 Greenway Dr, Kelseyville, CA 95451-7028 | 2017-05-03 |
| 1902977044 | Advocates for Independent Living | Intermediate Care Facility, Mentally Retarded | 4795 Gaddy Ln, Kelseyville, CA 95451-7407 | 2006-11-12 |
| 1346246261 | Kelseyville Fire Protection District | Ambulance | 4020 Main St, Kelseyville, CA 95451-7410 | 2005-06-24 |
| 1881616472 | Ruth A Stewart | Pharmacy | 3720 Main St, Kelseyville, CA 95451-7420 | 2006-07-24 |
| 1174740898 | Levi Samuel Palmer | Dentist | 7275 Adobe Creek Dr, Kelseyville, CA 95451-8008 | 2007-04-20 |
| 1790181816 | Erin Bennett | Registered Nurse | 9320 Kelsey Creek Dr, Kelseyville, CA 95451-8031 | 2014-11-17 |
| Find all providers in zip 95451 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316972425 | Paula R Dhanda | Obstetrics & Gynecology | 5685 Main Street, Kelseyville, CA 95451 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526862 | My Optimal Life | Obstetrics & Gynecology | 72301 Country Club Dr Ste 105, Rancho Mirage, CA 92270-8007 | 2020-07-28 |
| 1740833078 | Lillian Shumate Md | Obstetrics & Gynecology | 1401 Spanos Ct Ste 124, Modesto, CA 95355-2814 | 2019-07-16 |
| 1568927754 | J Kingsley Fife | Obstetrics & Gynecology | 1165 Las Pulgas Pl, Pacific Palisades, CA 90272-2440 | 2019-02-01 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1396253340 | Yasharpour Medical Doctor, Inc A Professional Medical Corporation | Obstetrics & Gynecology | 21013 Sherman Way Ste 4, Canoga Park, CA 91303-3675 | 2018-01-11 |
| 1851828222 | Desert Valley Obgyn Inc | Obstetrics & Gynecology | 39000 Bob Hope Dr Ste 303, Rancho Mirage, CA 92270-3221 | 2017-05-17 |
| 1295274660 | Koe Medical Consulting, Inc. | Obstetrics & Gynecology | 5680 Trinidad Way, San Diego, CA 92114-5310 | 2017-02-18 |
| 1518404441 | Women's Health Care Research Corporation | Obstetrics & Gynecology | 3750 Convoy St Ste 311, San Diego, CA 92111-3741 | 2017-01-30 |
| 1730626722 | Aela Paiz Do Inc | Obstetrics & Gynecology | 9620 Clybourn Ave, Sun Valley, CA 91352-1623 | 2017-01-27 |
| 1538521125 | Randal Sloop Md Inc | Obstetrics & Gynecology | 2068 Talbert Dr Ste 150, Chico, CA 95928-7723 | 2016-03-23 |
| Find all providers with the same taxonomy | ||||
| City | KELSEYVILLE |
| Zip Code | 95451 |
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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.