SACRAMENTO ADVANCED LAPAROSCOPIC SURGERY ASSOC A PROF MEDICAL CORP (NPI# 1316395395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316395395 |
| Entity Type | Organization |
| Organization Name | SACRAMENTO ADVANCED LAPAROSCOPIC SURGERY ASSOC A PROF MEDICAL CORP |
| Other Organization Name | DONALD WALDREP, MD |
| Practice Address |
110 Jensen Ct Suite 1b Thousand Oaks CA 91360-7483 |
| Practice Telephone | 8052300030 |
| Practice Fax Number | 8052302995 |
| Mailing Telephone | 8052300030 |
| Mailing Fax Number | 8052302995 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-12-09 |
| Authorized Official Name | DR. DONALD WALDREP (MD / CEO) |
| Authorized Official Telephone | 8052300030 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SACRAMENTO ADVANCED LAPAROSCOPIC SURGERY ASSOC A PROF MEDICAL CO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | G75982 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Donald Waldrep, MD | Doing Business As Name - Organization |
| Street Address |
110 JENSEN CT SUITE 1B |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91360-7483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700874708 | Westlake Orthopedics A Medical Corporation | Specialist | 110 Jensen Ct, Suite 2a, Thousand Oaks, CA 91360-7483 | 2005-10-12 |
| 1750735304 | Michelle Hedgcock | Physical Therapist | 110 Jensen Ct, Suite 2c, Thousand Oaks, CA 91361-7485 | 2016-04-20 |
| 1205063708 | Robert Henry, M.d., Inc | Physical Medicine & Rehabilitation | 110 Jensen Ct, 1-c, Thousand Oaks, CA 91360-7483 | 2009-06-11 |
| 1811186984 | Anna M Green | Physician Assistant | 110 Jensen Ct, Suite 1c, Thousand Oaks, CA 91360-7483 | 2007-10-15 |
| 1326236555 | Brian C Bashner | Orthopaedic Surgery | 110 Jensen Ct, Suite 2a, Thousand Oaks, CA 91360-7483 | 2007-10-12 |
| 1558498337 | Westlake Physical Therapy, Inc. | Physical Therapist | 110 Jensen Ct, Suite 2c, Thousand Oaks, CA 91360-7483 | 2007-02-27 |
| 1679630446 | Donald Waldrep | Surgery | 110 Jensen Ct, Suite 1b, Thousand Oaks, CA 91360-7483 | 2007-01-02 |
| 1477573111 | Denise Menchaca | Physical Therapist | 110 Jensen Ct, Suite 2c, Thousand Oaks, CA 91360-7483 | 2006-07-19 |
| 1154341899 | James Johnson | Physical Therapist | 110 Jensen Ct, Suite 2c, Thousand Oaks, CA 91360-7483 | 2006-07-19 |
| 1174549885 | Bernard Budnik | Physical Therapist | 110 Jensen Ct, Suite 2c, Thousand Oaks, CA 91360-7483 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633953 | Rhandi Walters | Marriage & Family Therapist | 208 E Thousand Oaks Blvd, Suite D, Thousand Oaks, CA 91360 | 2020-09-09 |
| 1942709837 | Stephanie Renee Neri | Behavior Technician | 325 E Hillcrest Dr Suite 140, Thousand Oaks, CA 91360 | 2018-02-06 |
| 1104340652 | Fernando Antonio Castaneda | Student in an Organized Health Care Education/Training Program | 325 E Hillcrest Dr Ste 140, Thousand Oaks, CA 91360 | 2017-07-26 |
| 1023548989 | Anna Garduno | Specialist/Technologist | 3680 Campus Drive, Thousand Oaks, CA 91360 | 2017-06-14 |
| 1467996306 | Ava Shokoufi | Marriage & Family Therapist | 280 E Thousand Oaks Blvd Suite D, Thousand Oaks, CA 91360 | 2016-12-12 |
| 1649621517 | Sandy Lynn Mcglynn | Social Worker | 460 East Gainsborough Road, Thousand Oaks, CA 91360 | 2016-06-22 |
| 1316363476 | Lorraine Jordan | Family Medicine | 1331 Witherspoon Dr, Thousand Oaks, CA 91360 | 2014-03-13 |
| 1841612033 | Katherine Snyder | Counselor | 280 East Thousand Oaks Blvd. Suite D, Thousand Oaks, CA 91360 | 2014-01-08 |
| 1235567397 | Christine Maria Katzenmaier | Speech-Language Pathologist | 223 E. Thousand Oaks Blvd, Thousand Oaks, CA 91360 | 2013-10-28 |
| 1912335233 | Lena Ameripour | Behavioral Analyst | 315 E. Hillcrest Dr., Thousand Oaks, CA 91360 | 2013-10-23 |
| Find all providers in zip 91360 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396023255 | Pacific Coast Surgical Group | Surgery | 3195 Old Conejo Rd, Thousand Oaks, CA 91320-2151 | 2011-07-26 |
| 1588828289 | J Anthony Brown | Surgery | 1347 Lamont Ave, Thousand Oaks, CA 91362-2025 | 2008-07-11 |
| 1881746428 | David D. Chi | Surgery | 555 Marin Street, Suite 210, Thousand Oaks, CA 91360-4105 | 2007-01-16 |
| 1437208345 | Patrick J Reiten | Surgery | 415 Rolling Oaks Dr Ste 220, Thousand Oaks, CA 91361-1046 | 2007-01-09 |
| 1154343242 | Amir-hossein Mehran | Surgery | 227 W Janss Rd Ste 205, Thousand Oaks, CA 91360-1827 | 2006-07-24 |
| 1023072816 | Walid S. Arnaout | Surgery | 77 Rolling Oaks Dr Ste 203, Thousand Oaks, CA 91361-1019 | 2006-04-17 |
| 1063417301 | Tom F Measles | Surgery | 2190 Lynn Rd, Ste 320, Thousand Oaks, CA 91360-1980 | 2005-06-14 |
| 1245838697 | Andrea M Pakula, Md Apc | Surgery | 77 Rolling Oaks Dr Ste 203, Thousand Oaks, CA 91361-1019 | 2020-10-16 |
| 1215475983 | Advanced Wound Healing Specialists, Inc. | Surgery | 2190 Lynn Rd, Ste 320, Thousand Oaks, CA 91360-8026 | 2017-02-02 |
| 1790162733 | Lauren Poliakin | Surgery | 227 W Janss Rd Ste 300, Thousand Oaks, CA 91360-1885 | 2015-04-29 |
| Find all providers in THOUSAND OAKS | ||||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
Please comment or provide details below to improve the information on SACRAMENTO ADVANCED LAPAROSCOPIC SURGERY ASSOC A PROF MEDICAL CORP.
| 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.