TRINITY PLAZA SURGERY CENTER LLC (NPI# 1073758264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073758264 |
Entity Type | Organization |
Organization Name | TRINITY PLAZA SURGERY CENTER LLC |
Practice Address |
10200 Trinity Pkwy Suite 101 Stockton CA 95219-7249 |
Practice Telephone | 2093233480 |
Mailing Telephone | 2093233480 |
Enumeration Date | 2008-12-02 |
Last Update Date | 2008-12-02 |
Authorized Official Name | MR. JOSEPH HARRINGTON (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 2093343411 |
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 |
Street Address |
10200 TRINITY PKWY SUITE 101 |
City | STOCKTON |
State | CA |
Zip Code | 95219-7249 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437117322 | Gursharan S Nahl | Internal Medicine | 10200 Trinity Pkwy, Suite 102, Stockton, CA 95219-7286 | 2006-05-02 |
1053681890 | Carrie Bray | Physical Therapist | 10200 Trinity Pkwy, Suite 205, Stockton, CA 95219-7286 | 2012-01-11 |
1639499239 | Delta Radiology Medical Group Inc | Radiology | 10200 Trinity Pkwy, # 204, Stockton, CA 95219-7286 | 2010-06-04 |
1093960403 | Alshifa Medical Group | Clinic/Center | 10200 Trinity Pkwy, Suite 202, Stockton, CA 95219-7249 | 2008-11-26 |
1801095039 | Maria Christie Villacorte Fernando | Physical Medicine & Rehabilitation | 10200 Trinity Pkwy, Suite 207, Stockton, CA 95219-7286 | 2007-07-17 |
1992902670 | Ravi R Pankhaniya | Anesthesiology | 10200 Trinity Pkwy, Suite 206, Stockton, CA 95219-7286 | 2007-06-27 |
1518188366 | Madelaine Aquino, M.d. Inc. | Clinic/Center | 10200 Trinity Pkwy, Suite 207, Stockton, CA 95219-7286 | 2007-05-01 |
1194949818 | Tony Hoang Tran | Emergency Medicine | 10200 Trinity Pkwy, Suite 102, Stockton, CA 95219-7286 | 2007-04-12 |
1225153091 | Gregory Black | Physical Therapist | 10200 Trinity Pkwy, Suite 205, Stockton, CA 95219-7286 | 2007-03-20 |
1881745313 | Samuel V Vescera | Anesthesiology | 10200 Trinity Pkwy, Suite 101, Stockton, CA 95219-7249 | 2007-01-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
Find all providers in zip 95219 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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1609041813 | Dental Surgery Centers of America | Clinic/Center | 1523 E March Ln Ste A, Stockton, CA 95210-5607 | 2008-04-29 |
1225138647 | American Dental Surgery Centers, Inc. | Clinic/Center | 1523 E. March Ln., Suite 100, Stockton, CA 95210-5663 | 2006-09-25 |
1730112178 | San Joaquin Laser and Surgery Center Inc | Clinic/Center | 1805 N California St Ste 101a, Stockton, CA 95204-6032 | 2006-07-09 |
1245285857 | Ambulatory Surgery Center of Eager Steven E Md Gen Ptr | Clinic/Center | 2388 N California St, Stockton, CA 95204-5506 | 2006-05-23 |
1619974219 | St. Joseph's Surgery Center Lp | Clinic/Center | 1800 N California St, Ste 1, Stockton, CA 95204-6019 | 2005-06-28 |
1417405234 | Psc Stockton Outpatient Surgery Center, LLC | Clinic/Center | 1805 N California St, Suite 405, Stockton, CA 95204-6037 | 2016-09-21 |
1467825844 | Sutter Valley Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209-2841 | 2015-11-05 |
1598158487 | California Street Outpatient Surgery Center, LLC | Clinic/Center | 1805 N California St, Suite 405, Stockton, CA 95204-6037 | 2015-03-17 |
Find all providers in STOCKTON |
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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.