PAVILION SURGERY CENTER LLC (NPI# 1356878052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356878052 |
| Entity Type | Organization |
| Organization Name | PAVILION SURGERY CENTER LLC |
| Practice Address |
1140 W La Veta Ave Orange CA 92868-4225 |
| Mailing Address |
3033 N 44th St Ste 200 Phoenix AZ 85018-7244 |
| Practice Telephone | 7147448711 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2018-03-28 |
| Authorized Official Name | BRIAN GIESSLER (SR VP OF ASC OPS & BUSINESS SVCS) |
| Authorized Official Telephone | 4802073716 |
| 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 |
1140 W LA VETA AVE |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031735 | Mark A. George | Dentist | 1140 W La Veta Ave, Ste 530, Orange, CA 92868-4227 | 2005-05-31 |
| 1639555394 | Uc Irvine Cardiopulmonary Clinic | Clinic/Center | 1140 W La Veta Ave, Suite 750, Orange, CA 92868-4225 | 2015-08-05 |
| 1437538485 | Jessica Gaeta Weaver | Registered Nurse | 1140 W La Veta Ave, Orange, CA 92868 | 2015-05-22 |
| 1114349701 | Uc Irvine Cardiopulmonary Clinic | Clinic/Center | 1140 W La Veta Ave, Suite 750, Orange, CA 92868-4225 | 2014-01-15 |
| 1841626702 | Nancy Berard-shuman | Occupational Therapist | 1140 W La Veta Ave, Suite 860, Orange, CA 92868-4225 | 2013-09-23 |
| 1215238522 | Jeffrey M. Johnsrud, A Medical Corporation | Specialist | 1140 W La Veta Ave, Suite 760, Orange, CA 92868-4223 | 2010-11-03 |
| 1962631101 | Aidan Rupert Raney | Internal Medicine | 1140 W La Veta Ave, Ste 430, Orange, CA 92868-4225 | 2009-07-09 |
| 1417181470 | Teresa H Garcia, M.d., Inc | Clinic/Center | 1140 W La Veta Ave, Suite 480, Orange, CA 92868-4223 | 2009-05-06 |
| 1962636928 | Lilly F Ramirez-boyd, M.d., Inc | Clinic/Center | 1140 W La Veta Ave, Suite 410, Orange, CA 92868-4223 | 2009-05-06 |
| 1104050285 | Jeffrey M. Shapiro, Md, Inc | Internal Medicine | 1140 W La Veta Ave, Suite 615, Orange, CA 92868-4223 | 2009-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861907107 | United Surgery Center-orange LLC | Clinic/Center | 1140 W La Veta Ave Ste 550, Orange, CA 92868-4214 | 2017-12-08 |
| 1568918548 | Orange Partners Surgicenter, LLC | Clinic/Center | 438 E Katella Ave Ste D, Orange, CA 92867-4857 | 2016-08-30 |
| 1568844934 | Fashion Island Surgery Center, LLC | Clinic/Center | 302 W La Veta Ave Ste 100, Orange, CA 92866-2607 | 2015-06-22 |
| 1497046064 | Pacific Shore Surgery Center | Clinic/Center | 302 W. Laveta Ave, Suite 100, Orange, CA 92866 | 2011-04-29 |
| 1225275688 | Main Street Specialty Surgery Center, LLC | Clinic/Center | 280 S Main St Ste 100, Orange, CA 92868-3852 | 2009-01-07 |
| 1326223298 | Orangewood Surgical Center LLC | Clinic/Center | 2143 W Orangewood Ave, Orange, CA 92868-1941 | 2008-01-09 |
| 1316070915 | Vista Surgical Center Inc | Clinic/Center | 1310 W Stewart Dr Ste 310, Orange, CA 92868-3838 | 2007-03-13 |
| 1275643694 | Regents of The University of California | Clinic/Center | 200 S Manchester Ave Ste 650, Orange, CA 92868-3224 | 2006-08-30 |
| 1679528772 | St Joseph Surgery & Laser Center Inc | Clinic/Center | 436 S Glassell St, Orange, CA 92866-1906 | 2006-05-24 |
| 1912976408 | Planned Parenthood of Orange/san Bernardino Counties | Clinic/Center | 700 S Tustin St, Orange, CA 92866-3425 | 2006-03-16 |
| Find all providers in ORANGE | ||||
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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.