RESERVOIR PHYSICIANS SURGERY CENTER, LLC


Address: 6719 Alvarado Rd, Suite 100, San Diego, CA 92120-5270
Phone: 6192293100

RESERVOIR PHYSICIANS SURGERY CENTER, LLC (NPI# 1427295658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427295658
Entity Type Organization
Organization Name RESERVOIR PHYSICIANS SURGERY CENTER, LLC
Practice Address 6719 Alvarado Rd
Suite 100
San Diego
CA 92120-5270
Practice Telephone 6192293100
Mailing Telephone 6192293100
Enumeration Date 2009-01-09
Last Update Date 2009-07-14
Authorized Official Name MR. HARRIS F KOENIG (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 6192293172
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 6719 ALVARADO RD
SUITE 100
City SAN DIEGO
State CA
Zip Code 92120-5270

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982607867 Jonathan J. Myer Orthopaedic Surgery 6719 Alvarado Rd, Ste 200, San Diego, CA 92120-5256 2005-05-24
1598216434 Donald Oliver Morgenson Specialist/Technologist 6719 Alvarado Rd, Suite 200, San Diego, CA 92120-5270 2016-10-15
1689027427 Stephanie Lauren Haua Physician Assistant 6719 Alvarado Rd, Suite 308, San Diego, CA 92120-5270 2016-07-17
1710342654 Elise S. Brown, Md, A Professional Corporation Obstetrics & Gynecology 6719 Alvarado Rd, Suite 302, San Diego, CA 92120-5270 2015-12-18
1013386432 Silpa Reddy Internal Medicine 6719 Alvarado Rd, Suite 108, San Diego, CA 92120-5270 2015-09-15
1811313067 Pain Solutions Inc Anesthesiology 6719 Alvarado Rd, San Diego, CA 92120-5270 2014-03-12
1447521687 Infusion Solutions of California, Inc. Clinic/Center 6719 Alvarado Rd, Suite 206, San Diego, CA 92120-5270 2012-01-19
1114297892 Michael Nussbaum, M.d., Inc. Anesthesiology 6719 Alvarado Rd, San Diego, CA 92120-5270 2012-01-11
1528340437 Sameti-birdjandi Medical Group Anesthesiology 6719 Alvarado Rd, Suite 100, San Diego, CA 92120-5270 2011-09-16
1124357066 Jennifer Jane Blevins Physician Assistant 6719 Alvarado Rd, Suite 308, San Diego, CA 92120 2009-12-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316550510 Jessica Elizabeth Knight Student in an Organized Health Care Education/Training Program 6383 Alvarado Ct, 310, San Diego, CA 92120 2020-08-26
1770195091 Julia Roccanova Student in an Organized Health Care Education/Training Program 6383 Alvarado Court, Suite 310, San Diego, CA 92120 2020-08-18
1225593601 Truself Training, Inc Clinic/Center 5125 Waring Road, San Diego, CA 92120 2019-02-09
1508381799 Antin Sachs In Home Supportive Care 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 2017-08-08
1588186415 Matthew B Wilbat Behavioral Analyst 6851 Alvarado Rd., #17, San Diego, CA 92120 2017-07-12
1548782923 Mori Khatibzadeh Dds Inc. Clinic/Center 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 2017-07-07
1306379359 Ken Samith Oerding Nurse Practitioner 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 2017-04-06
1396134409 Debra Michele Stern-ellis Social Worker 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 2015-01-13
1821494717 Shohreh Tourian Dentist 7451 Mission Gorge Road, San Diego, CA 92120 2014-11-05
1184049215 Charles Yin Counselor 6153 Fairmount Ave Suite #260, San Diego, CA 92120 2014-02-26
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275006173 Balboa Surgical Institute, Inc. Clinic/Center 7625 Mesa College Drive, Suite 315a, San Diego, CA 92111-5343 2019-01-03
1598276404 Balboa Nephrology Medical Group,inc. Clinic/Center 6402 El Cajon Blvd Ste 100, San Diego, CA 92115-2645 2017-10-18
1316462377 Ucsd Surgical Center of San Diego, LLC Clinic/Center 4910 Directors Pl Ste 100, San Diego, CA 92121-3814 2017-08-10
1710325220 Carmel Valley Surgical Center Clinic/Center 11943 El Camino Real, Suite 100, San Diego, CA 92130-2597 2013-06-06
1346515095 Medical Acadamy of Hawaii and Anatomical Learning Orginization Clinic/Center 5286 Eastgate Mall, San Diego, CA 92121-2815 2012-03-14
1245534460 The Hilinski Ambulatory Surgery Center Clinic/Center 3720 4th Avenue, San Diego, CA 92103 2011-01-03
1538463153 La Jolla Surgery Center Clinic/Center 4510 Executive Dr Ste 200a, San Diego, CA 92121-3023 2010-12-23
1922324177 Surgical Center of San Diego, LLC Clinic/Center 4910 Directors Place, Suite 100, San Diego, CA 92121-3814 2010-04-13
1194968677 Professional Surgicenter, Inc Clinic/Center 4510 Executive Dr Ste 105a, San Diego, CA 92121-3022 2009-04-13
1578729539 The Reservoir Physicans Surgery Center, LLC Clinic/Center 6716 Alvarado Rd, San Diego, CA 92120 2008-07-30
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Competitor

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City SAN DIEGO
Zip Code 92120

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Dataset Information

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.

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