PACIFIC SURGICAL SPECIALIST LLC (NPI# 1508391293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508391293 |
| Entity Type | Organization |
| Organization Name | PACIFIC SURGICAL SPECIALIST LLC |
| Practice Address |
2345 E 8th St Suite 105 National City CA 91950-2800 |
| Practice Telephone | 6196094186 |
| Practice Fax Number | 6194791006 |
| Mailing Telephone | 6196094186 |
| Mailing Fax Number | 6194791006 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | DR. JUSTIN B KING (PRESIDENT) |
| Authorized Official Telephone | 3104628668 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
A89447 | CA | Ambulatory Health Care Facilities |
| Street Address |
2345 E 8TH ST SUITE 105 |
| City | NATIONAL CITY |
| State | CA |
| Zip Code | 91950-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194838516 | Andrew J Alongi | Internal Medicine | 2345 E 8th St, Suite 101, National City, CA 91950-2800 | 2006-08-17 |
| 1639638984 | Nicholas David Lacey | Physical Therapist | 2345 E 8th St, National City, CA 91950-2800 | 2019-03-17 |
| 1134584857 | Robinson R. Langille Chiropractic PC | Chiropractor | 2345 E 8th St, 101, National City, CA 91950-2800 | 2015-12-22 |
| 1932510567 | Kristy Lynn Farook | Respiratory Therapist, Registered | 2345 E 8th St, National City, CA 91950-2800 | 2014-05-16 |
| 1790954469 | Mcalister Institute | Clinic/Center | 2345 E 8th St, Suite 109/110, National City, CA 91950-2800 | 2008-02-26 |
| 1720100274 | Healthy Beginnings | Substance Abuse Rehabilitation Facility | 2345 E 8th St, Suite 110, National City, CA 91950-2800 | 2007-04-04 |
| 1538283999 | Robinson R Langille | Chiropractor | 2345 E 8th St, 101, National City, CA 91950-2800 | 2007-03-19 |
| 1710022462 | Judith Rivera | Nurse Practitioner | 2345 E 8th St, Suite 101, National City, CA 91950-2800 | 2007-02-20 |
| 1629120803 | Lauren E Liefland | Psychologist | 2345 E 8th St, Ste 212, National City, CA 91950-2800 | 2007-01-17 |
| 1760534853 | Tracy Liljequist | Marriage & Family Therapist | 2345 E 8th St, Suite 103, National City, CA 91950-2800 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082350 | Good Samaritan Home Health Care, Inc. | Home Health | 3403 E Plaza Blvd., Unit K, National City, CA 91950 | 2020-08-06 |
| 1316439631 | Progressive Sleep Center A Medical Corporation | Family Medicine | 502 Euclid Ave Ste 302, National City, CA 91950 | 2018-06-01 |
| 1275997074 | Dr Joshua Sameer Pal, Md Corporation | Pain Medicine | 3142 E. Plaza Blvd., Suite T, National City, CA 91950 | 2016-04-07 |
| 1780046672 | Carmen Velazquez Md Inc | Internal Medicine | 2575 East Eight Street, National City, CA 91950 | 2016-03-22 |
| 1598126856 | Valderene Da Paixao Passos Waian | Counselor | 2414 Hoover Avenue, San Diego, CA 91950 | 2016-03-15 |
| 1215247879 | Paulina G Quintana M D Inc | Pathology | 2400 E 4th Street, National City, CA 91950 | 2010-10-18 |
| 1679807069 | Renato David Reyes | Dentist | 1625 Sweetwater Road, Suite G1, National City, CA 91950 | 2009-10-01 |
| 1376774349 | Antioquia Dental Care, Inc. | Dentist | 1727 Sweetwater Road, Suite Q, National City, CA 91950 | 2009-08-07 |
| 1336378371 | James T Kim | Internal Medicine | 502 Euclid Ave Ste 104, National City, CA 91950 | 2009-07-13 |
| 1477700730 | Eusebio Dental Corporation | Dentist | 1127 Highland Avenue, National City, CA 91950 | 2008-08-19 |
| Find all providers in zip 91950 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| Find all providers with the same taxonomy | ||||
| City | NATIONAL CITY |
| Zip Code | 91950 |
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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.