SAN BERNARDINO EYE SURGERY CENTER, LLC (NPI# 1487608071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487608071 |
| Entity Type | Organization |
| Organization Name | SAN BERNARDINO EYE SURGERY CENTER, LLC |
| Other Organization Name | THE EYE SURGERY CENTER |
| Practice Address |
1900 E Washington St Colton CA 92324-4614 |
| Practice Telephone | 9098253425 |
| Practice Fax Number | 9098256991 |
| Mailing Telephone | 9098253425 |
| Mailing Fax Number | 9098256991 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | DR. CHRISTOPHER L. BLANTON (PRESIDENT) |
| Authorized Official Telephone | 9098253425 |
| 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 |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Eye Surgery Center | Doing Business As Name - Organization |
| Street Address |
1900 E WASHINGTON ST |
| City | COLTON |
| State | CA |
| Zip Code | 92324-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586232 | Wayne B Isaeff | Ophthalmology | 1900 E Washington St, Colton, CA 92324-4614 | 2005-05-27 |
| 1508050220 | John Jin Kim | Ophthalmology | 1900 E Washington St, Colton, CA 92324-4614 | 2007-09-06 |
| 1467582106 | Ira Vidor | Ophthalmology | 1900 E Washington St, Colton, CA 92324-4614 | 2007-03-06 |
| 1801955539 | Saro J Davidian | Nurse Anesthetist, Certified Registered | 1900 E Washington St, Colton, CA 92324-4614 | 2006-12-08 |
| 1427125285 | James L Glubka | Nurse Anesthetist, Certified Registered | 1900 E Washington St, Colton, CA 92324-4614 | 2006-11-29 |
| 1669426250 | Inland Eye Institute Medical Group Inc | Clinic/Center | 1900 E Washington St, Colton, CA 92324-4614 | 2006-05-19 |
| 1023011582 | Kimber Lee Schneider | Ophthalmology | 1900 E Washington St, Colton, CA 92324-4614 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033114764 | Premier Outpatient Surgery Center, Inc. | Clinic/Center | 900 E Washington St, Ste 155, Colton, CA 92324-4196 | 2005-06-17 |
| 1811482698 | Cal Med Asc LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1740653385 | Premier Surgery Center, Inc. | Clinic/Center | 900 E Washington St, Colton, CA 92324-7111 | 2015-11-04 |
| 1881098101 | A&m Surgery Center, Inc. | Clinic/Center | 1850 E Washington St, Colton, CA 92324-4621 | 2014-10-15 |
| 1629313739 | Colton Ca Multi Asc Lp | Clinic/Center | 900 E Washington St, Suite 155, Colton, CA 92324-7111 | 2012-11-29 |
| 1720359151 | St John Surgery Center Inc | Clinic/Center | 1023 S Mount Vernon Ave, Colton, CA 92324-4202 | 2012-01-17 |
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| 1790384303 | Abroms Dougherty Vision Asc LLC | Clinic/Center | 4472 Broad St Ste 150, San Luis Obispo, CA 93401-7933 | 2020-10-23 |
| 1861091993 | Willow Vista Surgical Center | Clinic/Center | 39810 Portola Ave, Palm Desert, CA 92260-0624 | 2020-10-20 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.