EL DORADO SURGERY CENTER, INC. (NPI# 1508861881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508861881 |
| Entity Type | Organization |
| Organization Name | EL DORADO SURGERY CENTER, INC. |
| Practice Address |
4300 Golden Center Dr Ste E Placerville CA 95667-6278 |
| Practice Telephone | 5303441687 |
| Practice Fax Number | 5303441561 |
| Mailing Telephone | 5303441687 |
| Mailing Fax Number | 5303441561 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2013-01-24 |
| Authorized Official Name | MS. CLAUDIA S LOCKWOOD (FACILITY DIRECTOR) |
| Authorized Official Telephone | 5303441687 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
030000767 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CCS # | CGP171564 | 01 |
| CA | BLUE SHIELD # | ZZZH09022 | 01 |
| CA | RAILROAD # | 490005585 | 01 |
| CA | DEPT OF LABOR # | 354098600 | 01 |
| CA | BLUE CROSS # | AS1560 | 01 |
| CA | SUR01560F | 05 |
| Street Address |
4300 GOLDEN CENTER DR STE E |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667-6278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063880276 | Baker Medical Management, Inc. | Nurse Anesthetist, Certified Registered | 4300 Golden Center Dr, Suite E, Placerville, CA 95667-6278 | 2015-09-03 |
| 1326471863 | Reymundo Barocio | Physician Assistant | 4300 Golden Center Dr, Suite C, Placerville, CA 95667-6278 | 2013-08-20 |
| 1649562315 | Marshall Medical Center | Orthopaedic Surgery | 4300 Golden Center Dr, Suite C, Placerville, CA 95667-6278 | 2011-05-12 |
| 1962793968 | Robert E Anderson Dds A Professional Dental Corp | Dentist | 4300 Golden Center Dr, Suite G, Placerville, CA 95667-6278 | 2011-04-25 |
| 1578872784 | Marshall Medical Center | Otolaryngology | 4300 Golden Center Dr, Suite D, Placerville, CA 95667-6278 | 2010-10-05 |
| 1316192826 | El Dorado Surgery Center LLC | Clinic/Center | 4300 Golden Center Dr, Suite E, Placerville, CA 95667-6278 | 2008-11-25 |
| 1457571846 | Robert Emmett Anderson | Dentist | 4300 Golden Center Dr, Suite G, Placerville, CA 95667-6278 | 2007-04-26 |
| 1942323464 | Michelle Ann Throp | Audiologist | 4300 Golden Center Dr, Suite D, Placerville, CA 95667-6278 | 2007-04-09 |
| 1700900966 | Cedar Eye Center Medical Group | Ophthalmology | 4300 Golden Center Dr, Suite A, Placerville, CA 95667-6278 | 2007-03-16 |
| 1487757779 | Robert A Chase | Allergy & Immunology | 4300 Golden Center Dr, Suite D, Placerville, CA 95667-6278 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| Find all providers in zip 95667 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316192826 | El Dorado Surgery Center LLC | Clinic/Center | 4300 Golden Center Dr, Suite E, Placerville, CA 95667-6278 | 2008-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
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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.