CENTRAL SAN DIEGO SURGERY CENTER INC. (NPI# 1124391974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124391974 |
| Entity Type | Organization |
| Organization Name | CENTRAL SAN DIEGO SURGERY CENTER INC. |
| Practice Address |
4060 4th Ave Suite #120 San Diego CA 92103-2116 |
| Practice Telephone | 6192997467 |
| Practice Fax Number | 6192991502 |
| Mailing Telephone | 6192997467 |
| Mailing Fax Number | 6192991502 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |
| Authorized Official Name | DR. JASON R HESS (OWNER) |
| Authorized Official Telephone | 6192997467 |
| 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 |
A104343 | CA | Ambulatory Health Care Facilities |
| Street Address |
4060 4TH AVE SUITE #120 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525299 | John Paul Molenaar | Audiologist | 4060 4th Ave, Ste 410a, San Diego, CA 92103-2121 | 2005-06-01 |
| 1598391740 | Sheena Lee Hays | Registered Nurse | 4060 4th Ave, San Diego, CA 92103-2116 | 2020-03-19 |
| 1336645324 | Kiyon Chung Md, Apc | Internal Medicine | 4060 4th Ave, Suite 650, San Diego, CA 92103-2121 | 2018-03-30 |
| 1003260894 | Erin Dwyer | Nurse Practitioner | 4060 4th Ave, Suite 310, San Diego, CA 92103-2116 | 2016-04-18 |
| 1336515642 | Leslie Monagle | Physical Therapist | 4060 4th Ave, Suite 206, San Diego, CA 92103-2116 | 2015-08-20 |
| 1598008583 | Stewart L. Frank Md, Inc. | Non-Pharmacy Dispensing Site | 4060 4th Ave, Suite 605, San Diego, CA 92103-2116 | 2013-03-28 |
| 1912269945 | Kennie Kwok | Dentist | 4060 4th Ave, Suite 303, San Diego, CA 92103-2116 | 2012-06-14 |
| 1366734220 | Joey Allen Clayton | Physician Assistant | 4060 4th Ave, Suite 700, San Diego, CA 92103-2116 | 2011-05-11 |
| 1578869772 | Jason R Hess Plastic Surgery Inc | Surgery | 4060 4th Ave, Suite 120, San Diego, CA 92103-2116 | 2011-02-04 |
| 1205144557 | James A Grant Md Inc | Specialist | 4060 4th Ave, Suite 410, San Diego, CA 92103-2116 | 2010-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275006173 | Balboa Surgical Institute, Inc. | Clinic/Center | 7625 Mesa College Drive, Suite 315a, San Diego, CA 92111-5343 | 2019-01-03 |
| 1598276404 | Balboa Nephrology Medical Group,inc. | Clinic/Center | 6402 El Cajon Blvd Ste 100, San Diego, CA 92115-2645 | 2017-10-18 |
| 1316462377 | Ucsd Surgical Center of San Diego, LLC | Clinic/Center | 4910 Directors Pl Ste 100, San Diego, CA 92121-3814 | 2017-08-10 |
| 1710325220 | Carmel Valley Surgical Center | Clinic/Center | 11943 El Camino Real, Suite 100, San Diego, CA 92130-2597 | 2013-06-06 |
| 1346515095 | Medical Acadamy of Hawaii and Anatomical Learning Orginization | Clinic/Center | 5286 Eastgate Mall, San Diego, CA 92121-2815 | 2012-03-14 |
| 1245534460 | The Hilinski Ambulatory Surgery Center | Clinic/Center | 3720 4th Avenue, San Diego, CA 92103 | 2011-01-03 |
| 1538463153 | La Jolla Surgery Center | Clinic/Center | 4510 Executive Dr Ste 200a, San Diego, CA 92121-3023 | 2010-12-23 |
| 1922324177 | Surgical Center of San Diego, LLC | Clinic/Center | 4910 Directors Place, Suite 100, San Diego, CA 92121-3814 | 2010-04-13 |
| 1194968677 | Professional Surgicenter, Inc | Clinic/Center | 4510 Executive Dr Ste 105a, San Diego, CA 92121-3022 | 2009-04-13 |
| 1578729539 | The Reservoir Physicans Surgery Center, LLC | Clinic/Center | 6716 Alvarado Rd, San Diego, CA 92120 | 2008-07-30 |
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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.