ROCHESTER IMPERIAL SURGICAL CENTER LLC (NPI# 1386064624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386064624 |
| Entity Type | Organization |
| Organization Name | ROCHESTER IMPERIAL SURGICAL CENTER LLC |
| Practice Address |
36243 Inland Valley Dr Ste 10 Wildomar CA 92595-9549 |
| Practice Telephone | 9517357246 |
| Practice Fax Number | 9512689516 |
| Mailing Telephone | 9517357246 |
| Mailing Fax Number | 9512689516 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-06-19 |
| Authorized Official Name | DR. SANJOY BANERJEE (OWNER) |
| Authorized Official Telephone | 9097321161 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
CA | Ambulatory Health Care Facilities |
| Street Address |
36243 INLAND VALLEY DR STE 10 |
| City | WILDOMAR |
| State | CA |
| Zip Code | 92595-9549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405142 | Mohammad Kaleem Uddin | Neurological Surgery | 36243 Inland Valley Dr, Ste 210, Wildomar, CA 92595-9549 | 2005-05-23 |
| 1063074904 | Jaelynne Michelle Allen | Nurse Practitioner | 36243 Inland Valley Dr, Wildomar, CA 92595-9549 | 2019-07-01 |
| 1780037432 | Mission Surgical Group | Clinic/Center | 36243 Inland Valley Dr, Suite 280, Wildomar, CA 92595-9549 | 2016-07-18 |
| 1013373398 | Danielle Merchant Martin | Nurse Practitioner | 36243 Inland Valley Dr, Wildomar, CA 92595-9549 | 2016-01-03 |
| 1992125231 | Kensington Diagnostics LLC | Clinical Medical Laboratory | 36243 Inland Valley Dr, Ste 10, Wildomar, CA 92595-9549 | 2014-04-25 |
| 1235431172 | Inscriptions Children's Clinic | Clinic/Center | 36243 Inland Valley Dr, Suite #80, Wildomar, CA 92595-9549 | 2010-11-29 |
| 1043445208 | Reliance Best Pharmacy LLC | Pharmacy | 36243 Inland Valley Dr, #130, Wildomar, CA 92595-9549 | 2009-05-18 |
| 1801088869 | Joan Amador | Marriage & Family Therapist | 36243 Inland Valley Dr, Suite 50, Wildomar, CA 92595-9549 | 2007-08-14 |
| 1154467561 | Abdul S. Farzin M.d., Inc | Family Medicine | 36243 Inland Valley Dr, Suite 240, Wildomar, CA 92595-9549 | 2007-01-30 |
| 1053465625 | Carmeleene Suarez Baguio | Registered Nurse | 36243 Inland Valley Dr, 110, Wildomar, CA 92595-9549 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190845 | Amber Nicole Salgado | Licensed Vocational Nurse | 33685 Harvest Way East, Wildomar, CA 92595 | 2018-10-22 |
| 1417448168 | Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | 36320 Inland Valley Dr Ste 101a, Wildomar, CA 92595 | 2018-05-29 |
| 1033636311 | Omar H Nael | Behavioral Analyst | 35925 Susan Dr, Wildomar, CA 92595 | 2017-08-27 |
| 1023535820 | Dennis Bonavilla | Specialist/Technologist, Other | 34859 Frederick Street, Suite 112, Wildomar, CA 92595 | 2017-08-23 |
| 1578965901 | Purnima K Patel M.d Inc | Internal Medicine | 32423 Inland Valley Dr. Ste 160, Wildomar, CA 92595 | 2014-09-17 |
| 1740523133 | Jerry Zhong Yu | Internal Medicine | 36320 Inland Valley Dr Ste 308, Wildomar, CA 92595 | 2013-04-03 |
| 1871859553 | Norman Orr | Internal Medicine | 36485 Valley Medical Center, Wildomar, CA 92595 | 2012-04-06 |
| 1902190226 | Brian Patrick Tiu | Surgery | 36320 Inland Valley Dr Ste 101, Wildomar, CA 92595 | 2011-06-03 |
| 1508013897 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 24335 Prielipp Rd Bldg A, Ste 116, Wildomar, CA 92595 | 2008-08-19 |
| 1760604383 | Nasko Lubenov Atanassov | Physical Therapist | 36485 Inland Valey Drive, Wildomar, CA 92595 | 2007-05-03 |
| Find all providers in zip 92595 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144673526 | Murrieta Valley Surgery Center, Inc.a Professional Corporation | Clinic/Center | 36320 Inland Valley Dr, Suite 101, Wildomar, CA 92595-7512 | 2016-07-20 |
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| 1366041469 | The Regents of The University of California | Clinic/Center | 4343 Lankershim Blvd Ste 210, North Hollywood, CA 91602-2705 | 2020-10-20 |
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1538775267 | Ev Surgery Institute LLC | Clinic/Center | 105 N Bascom Ave Ste 105, San Jose, CA 95128-1811 | 2020-09-18 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1811501661 | Precision Surgical Arts | Clinic/Center | 20311 Sw Birch St Ste 201, Newport Beach, CA 92660-1777 | 2020-08-31 |
| 1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
| 1740891571 | Peninsula Surgery Center, LLC | Clinic/Center | 350 Marine Pkwy Ste 100, Redwood City, CA 94065-5224 | 2020-08-14 |
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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.