481 ASC PROJECT LLC (NPI# 1447301593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447301593 |
| Entity Type | Organization |
| Organization Name | 481 ASC PROJECT LLC |
| Other Organization Name | EYE MD LASER & SURGERY CENTER LLC |
| Practice Address |
481 30th St Oakland CA 94609-3209 |
| Practice Telephone | 5108354521 |
| Practice Fax Number | 5108354223 |
| Mailing Telephone | 5108354521 |
| Mailing Fax Number | 5108354223 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2013-07-09 |
| Authorized Official Name | MR. RICHARD H. LEE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5108354521 |
| 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 |
140000588 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Eye MD Laser & Surgery Center LLC | Doing Business As Name - Organization |
| Street Address |
481 30TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073558565 | Heidi Gayle Nicoll-merson | Anesthesiology | 481 30th St, Oakland, CA 94609-3209 | 2006-06-18 |
| 1831369594 | East Bay Ophthalmic Anesthesia Inc | Anesthesiology | 481 30th St, Oakland, CA 94609-3209 | 2008-03-08 |
| 1346253671 | Carol I Capener | Anesthesiology | 481 30th St, Oakland, CA 94609-3209 | 2006-08-15 |
| 1013923549 | Robert O Connor | Anesthesiology | 481 30th St, Oakland, CA 94609-3209 | 2006-08-01 |
| 1831104637 | William R Roalfe | Anesthesiology | 481 30th St, Oakland, CA 94609-3209 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972114171 | Surgery Center of Oakland Lp | Clinic/Center | 80 Grand Ave Ste M-1, Oakland, CA 94612-3725 | 2020-08-11 |
| 1881765964 | Bay Surgery Center Lp | Clinic/Center | 6633 Telegraph Ave, Suite B, Oakland, CA 94609-1115 | 2006-11-13 |
| 1760923445 | Dialysis Access Center A Medical Corporation | Clinic/Center | 3012 Summit St, D Wing, Oakland, CA 94609-3480 | 2017-03-15 |
| 1518374354 | Garani S. Nadaraja, A Professional Corporation | Clinic/Center | 744 52nd St, Multispecialty Clinic, Oakland, CA 94609-1810 | 2014-07-14 |
| 1518106996 | East Bay Special Surgery LLC | Clinic/Center | 80 Grand Ave, Suite 100, Oakland, CA 94612-3725 | 2009-02-09 |
| 1972677755 | Dialysis Access Center, Inc | Clinic/Center | 3012 Summit St, D Wing, Oakland, CA 94609-3480 | 2006-11-20 |
| 1053496240 | Oakland Ca Endoscopy Asc Lp | Clinic/Center | 300 Frank Ogawa Plaza, Suite 135, Oakland, CA 94612 | 2006-10-26 |
| 1245327493 | The Surgery Center of Alta Bates Summit Medical Center, LLC | Clinic/Center | 3875 Telegraph Ave, Oakland, CA 94609-2428 | 2006-10-09 |
| 1194835686 | East Bay Endosurgery Center Inc | Clinic/Center | 300 Frank Ogawa Plaza, Suite 135, Oakland, CA 94612 | 2006-08-30 |
| 1366485385 | Webster Surgery Center, Lp | Clinic/Center | 80 Grand Ave, Suite 250, Oakland, CA 94612-3725 | 2006-06-14 |
| Find all providers in OAKLAND | ||||
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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.