ELKHORN SURGICAL CENTER (NPI# 1366733578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366733578 |
| Entity Type | Organization |
| Organization Name | ELKHORN SURGICAL CENTER |
| Practice Address |
5255 Elkhorn Blvd B Sacramento CA 95842-2506 |
| Mailing Address |
5255 Elkhorn Blvd B Sacramento CA 95842 |
| Practice Telephone | 9165505375 |
| Mailing Telephone | 9165505375 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |
| Authorized Official Name | VALENTIN KRIVITSKY (CORPORATE OFFICER) |
| Authorized Official Telephone | 9164127181 |
| 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 |
5255 ELKHORN BLVD B |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95842-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558312629 | Mikhail Palatnik | Internal Medicine | 5255 Elkhorn Blvd, Sacramento, CA 95842-2506 | 2006-05-13 |
| 1649893009 | Valery D. Tarasenko, Md, Inc. | Pain Medicine | 5255 Elkhorn Blvd, Sacramento, CA 95842-2506 | 2020-05-20 |
| 1851451140 | Philip Douglas Ford | Physician Assistant | 5255 Elkhorn Blvd, Sacramento, CA 95842-2506 | 2006-12-09 |
| 1639242001 | Elena Rapoport | Psychiatry & Neurology | 5255 Elkhorn Blvd, Sacramento, CA 95842-2506 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306318837 | Eve T Mallillin | Behavioral Analyst | 11670 White Rock Road, Suite 150, Rancho Cordova, CA 95842 | 2018-12-21 |
| 1760928824 | Tami Bumpass | Behavior Technician | 7806 Uplands Way Suite A, Citrus Hts, CA 95842 | 2017-01-13 |
| 1659621373 | Carl D Engelke | Military Health Care Provider | 7484 Holworthy Way, Apt 139, Sacramento, CA 95842 | 2012-09-11 |
| 1396033395 | Erik Kristopher Smith | Physician Assistant | 5255 Elkhorn Blvd Ste C, Sacramento, CA 95842 | 2011-07-12 |
| 1356437008 | Christopher Phen | Dentist | 5315 Elkhorn Blvd, Sacramento, CA 95842 | 2006-10-04 |
| 1861906455 | Palatnik Smith Health Care Corp | Clinic/Center | 5255 Elkhorn Blvd Ste C, Sacramento, CA 95842 | 2017-11-20 |
| 1427477975 | Zachariah Edwards | Counselor | 7425 Verdugo Way, Sacramento, CA 95842-1504 | 2014-04-14 |
| 1336454628 | Lela Feliz Evelyn Feliz | Counselor | 5036 Earlcort Cir, Sacramento, CA 95842-1737 | 2010-08-11 |
| 1447769211 | Milton Danilo Guerrero Leon | Behavior Technician | 5215 Karm Way, Sacramento, CA 95842-1951 | 2017-09-25 |
| 1104472059 | Alicia Cary | Occupational Therapy Assistant | 5520 Lancelot Dr, Sacramento, CA 95842-2100 | 2019-08-15 |
| Find all providers in zip 95842 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487136412 | Endoscopy Center of South Sacramento, LLC | Clinic/Center | 8120 Timberlake Way Ste 103, Sacramento, CA 95823-5413 | 2018-09-06 |
| 1730563610 | Sacramento Midtown Endoscopy Center, LLC | Clinic/Center | 3941 J St Ste 460, Sacramento, CA 95819-3633 | 2015-07-10 |
| 1134449382 | Lisa H. Hwang | Clinic/Center | The Plastic Surgery Center, 95 Scripps Drive, Sacramento, CA 95825 | 2010-06-09 |
| 1710127774 | Northern California Advanced Surgery Center Lp | Clinic/Center | 5771 Greenback Ln, Sacramento, CA 95841-2013 | 2009-03-03 |
| 1649434515 | Jagdev Singh Heir,md A Professional Corporation | Clinic/Center | 4170 Truxel Rd Ste C, Sacramento, CA 95834-3758 | 2008-07-10 |
| 1285696500 | Sutter Surgery Center Lp | Clinic/Center | 75 Scripps Dr, Sacramento, CA 95825-6320 | 2006-04-03 |
| 1780689802 | Pain Diagnostic and Treatment Center Lp | Clinic/Center | 2805 J. St, Ste 200, Sacramento, CA 95816-4307 | 2005-06-15 |
| 1114921541 | Sacramento Surgery Center Assoc., Lp | Clinic/Center | 1800 Tribute Rd, Ste 100, Sacramento, CA 95815-4314 | 2005-06-13 |
| 1295739134 | Michael J Fazio, Md, Surgery Center | Clinic/Center | 2805 J St, Ste 100, Sacramento, CA 95816-4307 | 2005-06-09 |
| 1336510486 | Sacramento Heart Ambulatory Surgery Center, Inc | Clinic/Center | 500 University Ave, Sacramento, CA 95825-6504 | 2015-10-15 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95842 |
Please comment or provide details below to improve the information on ELKHORN SURGICAL CENTER.
| 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.