ENCINO PLACE SURGERY CENTER (NPI# 1083732721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083732721 |
| Entity Type | Organization |
| Organization Name | ENCINO PLACE SURGERY CENTER |
| Practice Address |
16101 Ventura Blvd Ste 240 Encino CA 91436-2513 |
| Mailing Address |
5091 Westwood St Simi Valley CA 93063-0231 |
| Practice Telephone | 8187849304 |
| Practice Fax Number | 8187849307 |
| Mailing Telephone | 8187849304 |
| Mailing Fax Number | 8187849307 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID GEORGE GLICK (PRESIDENT) |
| Authorized Official Telephone | 8187849304 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
G53604 | CA | Ambulatory Health Care Facilities |
| Street Address |
16101 VENTURA BLVD STE 240 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235257049 | David Georg Glick | Plastic Surgery | 16101 Ventura Blvd Ste 240, Encino, CA 91436-2513 | 2007-03-27 |
| 1902368293 | Bambu Skin and Surgery Center LLC | Clinic/Center | 16101 Ventura Blvd Ste 240, Encino, CA 91436-2513 | 2019-04-04 |
| 1063715548 | Encino Place Pain & Surgery Center LLC | Clinic/Center | 16101 Ventura Blvd Ste 240, Encino, CA 91436-2513 | 2010-12-06 |
| 1336376763 | Shubha M Jain Md Inc | General Practice | 16101 Ventura Blvd Ste 240, Encino, CA 91436-2513 | 2009-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423672 | Pacific Ritz Surgery Center, LLC | Clinic/Center | 16311 Ventura Blvd Ste 570, Encino, CA 91436-4314 | 2019-02-13 |
| 1669953949 | Luxe Surgery Center of Encino LLC | Clinic/Center | 17525 Ventura Blvd Ste 101, Encino, CA 91316-5101 | 2018-08-24 |
| 1255729166 | A & C Surgery Center, LLC | Clinic/Center | 16055 Ventura Blvd Ste 712, Encino, CA 91436-2610 | 2014-12-30 |
| 1750673398 | Gold Med Surgery Center Inc. | Clinic/Center | 16311 Ventura Blvd Ste 1010, Encino, CA 91436-4345 | 2011-05-13 |
| 1194056655 | Lifovum Fertility Managment, LLC | Clinic/Center | 15503 Ventura Blvd Ste 100, Encino, CA 91436-3114 | 2010-01-22 |
| 1194902031 | Kc Medical | Clinic/Center | 16311 Ventura Blvd Ste 705, Encino, CA 91436-4323 | 2008-01-23 |
| 1134271901 | Encino Surgical Institute,a.m.c | Clinic/Center | 16260 Ventura Blvd Ste 210, Encino, CA 91436-2231 | 2007-01-18 |
| 1437219276 | Minehart Medical Corporation | Clinic/Center | 16250 Ventura Blvd Ste 165, Encino, CA 91436-2273 | 2006-12-11 |
| 1437700465 | Advanced Pain Center, Inc. | Clinic/Center | 16952 Ventura Blvd, Encino, CA 91316-4197 | 2019-09-20 |
| 1902368293 | Bambu Skin and Surgery Center LLC | Clinic/Center | 16101 Ventura Blvd Ste 240, Encino, CA 91436-2513 | 2019-04-04 |
| Find all providers in ENCINO | ||||
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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.