CANYON PINOLE SURGERY CENTER, LP (NPI# 1497791040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497791040 |
| Entity Type | Organization |
| Organization Name | CANYON PINOLE SURGERY CENTER, LP |
| Practice Address |
1700 San Pablo Ave Ste. D Pinole CA 94564-2068 |
| Mailing Address |
11999 San Vicente Bl. Ste. 440 Los Angeles CA 90049-5042 |
| Practice Telephone | 5107249500 |
| Practice Fax Number | 5107249511 |
| Mailing Telephone | 3104403131 |
| Mailing Fax Number | 3104729582 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GLEN K. LAU (OWNER) |
| Authorized Official Telephone | 5107249500 |
| 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 |
| Street Address |
1700 SAN PABLO AVE STE. D |
| City | PINOLE |
| State | CA |
| Zip Code | 94564-2068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568450146 | Joseph Anthony Matan | Orthopaedic Surgery | 1700 San Pablo Ave, Suite A, Pinole, CA 94564-2081 | 2005-10-08 |
| 1548707995 | Webster Surgery Center, Lp | Clinic/Center | 1700 San Pablo Ave, Suite D, Pinole, CA 94564 | 2017-01-24 |
| 1255674859 | Cindy Ross | Audiologist | 1700 San Pablo Ave, Ste F, Pinole, CA 94564-2081 | 2013-04-02 |
| 1093033292 | A Center for Hearing Health | Hearing Aid Equipment | 1700 San Pablo Ave, Suite F, Pinole, CA 94564-2081 | 2010-05-12 |
| 1740429216 | Joseph Anthony Matan M.d. A Professional Corporation. | Orthopaedic Surgery | 1700 San Pablo Ave, Suite A, Pinole, CA 94564-2081 | 2009-02-06 |
| 1750566261 | Steven John Daniels | Nurse Anesthetist, Certified Registered | 1700 San Pablo Ave, Pinole, CA 94564-2081 | 2008-01-02 |
| 1437359486 | William C Lyon Md, A Professional Corporation | Orthopaedic Surgery | 1700 San Pablo Ave, Suite A, Pinole, CA 94564-2081 | 2007-07-18 |
| 1184761090 | Roger Samuel Proctor | Anesthesiology | 1700 San Pablo Ave, Pinole, CA 94564-2081 | 2007-01-31 |
| 1700950938 | George Ichung Lee | Anesthesiology | 1700 San Pablo Ave, Pinole, CA 94564-2068 | 2006-11-20 |
| 1235179144 | John Hearst Welborn Jr. | Orthopaedic Surgery | 1700 San Pablo Ave, Suite A, Pinole, CA 94564-2081 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831664986 | Bay Area Surgical Associates, LLC | Clinic/Center | 1599 Tara Hills Drive, Pinole, CA 94564 | 2018-10-04 |
| 1285008987 | Priya Patel Dental Corporation | Dentist | 1208 Fitzgerald Dri, Pinole, CA 94564 | 2015-11-18 |
| 1356753693 | Lauren Wesley Strelitz | Family Medicine | 2160 Appian Way Ste 100, Pinole, CA 94564 | 2014-05-21 |
| 1508172305 | Feriel El Ghaoui Dds Inc. | Dentist | 1500 Tara Hills Dr., #104, Pinole, CA 94564 | 2010-08-31 |
| 1831328236 | Saket R Shah | Family Medicine | 2160 Appian Way, Suite 200, Pinole, CA 94564 | 2009-07-07 |
| 1184850687 | Pauline S Lim | Dentist | 2000 Appian Way Ste 101, Pinole, CA 94564 | 2009-06-10 |
| 1437304482 | Lori Beth Goldman | Marriage & Family Therapist | 668 Quinan Street, Pinole, CA 94564 | 2008-11-18 |
| 1306026505 | Miriam E. Dunham | Family Medicine | 1301 Pinole Valley Road, Pinole, CA 94564 | 2007-11-06 |
| 1871783308 | East Bay Ophthalmology, Inc. | Ophthalmology | 1700 San Pablo Avenue, Suite A, Pinole, CA 94564 | 2007-07-31 |
| 1659401057 | Gregory Steven Meyers | Dentist | 1420 Tara Hills Drive, Suite C, Pinole, CA 94564 | 2007-03-06 |
| Find all providers in zip 94564 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831664986 | Bay Area Surgical Associates, LLC | Clinic/Center | 1599 Tara Hills Drive, Pinole, CA 94564 | 2018-10-04 |
| 1548707995 | Webster Surgery Center, Lp | Clinic/Center | 1700 San Pablo Ave, Suite D, Pinole, CA 94564 | 2017-01-24 |
| 1912441130 | Center for Regenerative Surgery | Clinic/Center | 1599 Tara Hills Dr, Pinole, CA 94564-2519 | 2016-12-06 |
| 1568885630 | Center for Specialized Surgery, LLC | Clinic/Center | 1599 Tara Hills Dr, Pinole, CA 94564-2519 | 2014-01-27 |
| 1750582797 | Bay Area Laser Surgery Center, A Medical Corporation | Clinic/Center | 1599 Tara Hills Dr, Pinole, CA 94564-2519 | 2007-05-29 |
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| 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 |
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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.