CANYON SPECIALTY SURGERY CENTER LLC (NPI# 1154805240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154805240 |
| Entity Type | Organization |
| Organization Name | CANYON SPECIALTY SURGERY CENTER LLC |
| Practice Address |
145 S Chaparral Ct Ste 101 Anaheim CA 92808-2265 |
| Practice Telephone | 7144623005 |
| Mailing Telephone | 7144623005 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Authorized Official Name | MR. JAMSHID SHADJAREH (CHAIRMAN, GOVERNING BODY) |
| Authorized Official Telephone | 7144623005 |
| Authorized Official Credential | RN |
| 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 |
145 S CHAPARRAL CT STE 101 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92808-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922238096 | Oc Multi Specialty Surgery Center | Clinic/Center | 145 S Chaparral Ct Ste 101, Anaheim, CA 92808-2265 | 2009-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861970378 | Rebeca Martinez-higareda | Specialist/Technologist | 140 S. Chaparral Ct., Suite 110, Anaheim Hills, CA 92808 | 2018-08-06 |
| 1558875450 | Latshikyan Dental Corporation | Dentist | 8162 E Santa Ana Canyon Rd Suite 104, Anahein, CA 92808 | 2017-11-30 |
| 1083153266 | Jennifer Becker | Social Worker | 1368 S Country Glen Way, Anaheim, CA 92808 | 2017-02-21 |
| 1235573304 | Suzanne Renee Molera | Specialist/Technologist | 160 Old Springs Rd., Ste. 100, Anaheim Hills Speech and Language Center, Anaheim Hills, CA 92808 | 2013-04-19 |
| 1346559317 | Bernadette Pamulo Gonzales | Nurse Practitioner | 197 N. Mohler Drive, Anaheim Hills, CA 92808 | 2010-09-24 |
| 1437485653 | Rebecca M. Maravilla, Od, Inc. | Optometrist | 781 S. Weir Canyon Road, Suite 195, Anaheim, CA 92808 | 2009-10-22 |
| 1710142153 | Chris T Nguyen | Dentist | 911 South Brianna Way, Anaheim, CA 92808 | 2008-07-24 |
| 1619174331 | Raymond Warner | Social Worker | 1900 E. 4th Street, 2nd Floor, Anaheim, CA 92808 | 2007-06-27 |
| 1437271582 | Rebecca Marcia Maravilla | Optometrist | 781 S Weir Canyon Road, Suite 195, Anaheim Hills, CA 92808 | 2007-04-06 |
| 1649327412 | Kimberlee Anne Anne Green | Counselor | 120 S. Fairmont Blvd., Anaheim, CA 92808 | 2007-01-04 |
| Find all providers in zip 92808 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730487083 | Interventional Spine Center, LLC | Clinic/Center | 1110 W La Palma Ave Ste 2, Anaheim, CA 92801-2822 | 2011-03-10 |
| 1154621266 | Andrew W. Klein, M.d., Inc. | Clinic/Center | 1211 W. La Palma Avenue., #609, Anaheim, CA 92801 | 2010-10-25 |
| 1871827253 | Beauty Professionals Surgery Center, Inc. | Clinic/Center | 408 S Beach Blvd Ste 212, Anaheim, CA 92804-1888 | 2009-10-01 |
| 1922238096 | Oc Multi Specialty Surgery Center | Clinic/Center | 145 S Chaparral Ct Ste 101, Anaheim, CA 92808-2265 | 2009-07-22 |
| 1407086044 | Orange Coast Surgery Center | Clinic/Center | 1000 S Anaheim Blvd Suite 300, Anaheim, CA 92805-5804 | 2009-07-16 |
| 1003997503 | Four Seasons Surgery Centers of Anaheim Lp | Clinic/Center | 1324 S Euclid St, Anaheim, CA 92802-2002 | 2006-10-18 |
| 1891772349 | North Anaheim Surgicenter Ltd | Clinic/Center | 1154 N Euclid St, Anaheim, CA 92801-1955 | 2005-12-27 |
| 1053852236 | Surgery Center of Anaheim Hills, LLC | Clinic/Center | 500 S Anaheim Hills Rd, Suite 128, Anaheim, CA 92807-4780 | 2017-03-20 |
| 1518375641 | North Anaheim Surgery Center, LLC | Clinic/Center | 1154 N Euclid St, Anaheim, CA 92801-1955 | 2014-08-01 |
| 1528473030 | Unicare Surgery Center A Medical Corporation | Clinic/Center | 1741 W Romneya Dr, Suite B, Anaheim, CA 92801-1805 | 2014-06-23 |
| Find all providers in ANAHEIM | ||||
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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.