PALMDALE AMBULATORY SURGERY CENTER (NPI# 1215009626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215009626 |
| Entity Type | Organization |
| Organization Name | PALMDALE AMBULATORY SURGERY CENTER |
| Practice Address |
1529 East Palmdale Blvd Ste 207 Palmdale CA 93550 |
| Mailing Address |
9001 Wilshire Blvd Ste 106 Beverly Hills CA 90211 |
| Practice Telephone | 6612671900 |
| Practice Fax Number | 6612670700 |
| Mailing Telephone | 3102738885 |
| Mailing Fax Number | 3102738662 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL OMIDI (OWNER) |
| Authorized Official Telephone | 6612671900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| X | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
1529 EAST PALMDALE BLVD STE 207 |
| City | PALMDALE |
| State | CA |
| Zip Code | 93550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780063602 | Melissa Burnett | Social Worker | 1529 East Palmdale Blvd, Suite 150, Palmdale, CA 93550 | 2015-05-26 |
| 1164675799 | Margaret Vallejo | Social Worker | 1529 East Palmdale Blvd, Suite 210, Palmdale, CA 93550-2029 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612118 | Well Care Hospice Inc | Hospice Care, Community Based | 1543j East Palmdale Blvd., Palmdale, CA 93550 | 2020-09-03 |
| 1922565522 | California Recuperative Care, Inc | Social Worker | 38529 6th St. East, Palmdale, CA 93550 | 2019-03-01 |
| 1649751777 | Earl Larry Hernandez | Rehabilitation Practitioner | 1609 East Palmdale Blvd Suite G, Palmdale, CA 93550 | 2018-08-27 |
| 1265940050 | Virginia Alvarez | Counselor | 3058 East Aver14, Palmdale, CA 93550 | 2018-01-16 |
| 1225553498 | Natalie Christine Ragus | Social Worker | 1529 E. Palmdale Blvd. Ste 150, Palmdale, CA 93550 | 2017-08-09 |
| 1104348770 | Purificacion Paguyo Villegas | Registered Nurse | 38350 40th St East, 2nd Floor, Palmdale, CA 93550 | 2017-07-14 |
| 1528580438 | Perla Marilyn Rodriguez | Registered Nurse | 38350 40th St East, Palmdale, CA 93550 | 2017-07-12 |
| 1992259527 | Nathalie Exconde | Counselor | 1529 East Palmdale Blvd Suite 150, Palmdale, CA 93550 | 2016-08-11 |
| 1083064604 | Sinead Diaz | Community Health Worker | 2323a East Palmdale Boulvard, Palmdale, CA 93550 | 2016-06-14 |
| 1598122293 | Sharnelle Denise Patterson | Rehabilitation Practitioner | 2010 Moonflower Ct, Palmdale, CA 93550 | 2016-01-26 |
| Find all providers in zip 93550 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730191628 | County of Los Angeles | Clinic/Center | 38350 40th St E, Palmdale, CA 93552-3075 | 2006-08-12 |
| 1720090616 | County of Los Angeles | Clinic/Center | 16921 E Avenue O Ste G, Palmdale, CA 93591-3045 | 2006-08-12 |
| 1265951370 | Heathworks Med Group of California A Medical Corporation | Clinic/Center | 1011 Lockheed Way, Palmdale, CA 93599-0001 | 2017-09-11 |
| 1093267320 | Nikta Chiropractic, Inc. | Clinic/Center | 1020 E Palmdale Blvd, Suite 101c, Palmdale, CA 93550-4756 | 2016-11-03 |
| 1801257860 | Emergent Care Inc | Clinic/Center | 37255 Kingcup Ter, Palmdale, CA 93551-6231 | 2016-03-17 |
| 1982919528 | County of Los Angeles Auditor Controller | Clinic/Center | 16921 E Avenue O Ste G, Palmdale, CA 93591-3045 | 2010-08-06 |
| 1790090330 | County of Los Angeles Auditor Controller | Clinic/Center | 38350 40th St E, Palmdale, CA 93552-3075 | 2010-08-06 |
| 1053440768 | County of Los Angeles | Clinic/Center | 38350 40th St E, Palmdale, CA 93552-3075 | 2007-03-06 |
| 1578692281 | County of Los Angeles Auditor Controller | Clinic/Center | 38350 40th St E, Palmdale, CA 93552-3075 | 2007-03-06 |
| 1366571069 | County of Los Angeles Auditor Controller | Clinic/Center | 16921 E Avenue O Ste G, Palmdale, CA 93591-3045 | 2007-03-06 |
| Find all providers in PALMDALE | ||||
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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.