ST. MICHAEL SURGERY CENTER, LLC (NPI# 1659753358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659753358 |
| Entity Type | Organization |
| Organization Name | ST. MICHAEL SURGERY CENTER, LLC |
| Practice Address |
701 E 28th St Suite 300 Long Beach CA 90806-2759 |
| Practice Telephone | 5624277800 |
| Mailing Telephone | 5624277800 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-08-10 |
| Authorized Official Name | DR. RAFAAT MATTAR (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5624277800 |
| 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 |
701 E 28TH ST SUITE 300 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144201138 | Patricia J Gambol | Clinical Nurse Specialist | 701 E 28th St, Suite 412, Long Beach, CA 90806-2759 | 2005-11-08 |
| 1003448374 | Andrew Ji Kang | Allergy & Immunology | 701 E 28th St, Long Beach, CA 90806-2759 | 2020-02-05 |
| 1366083099 | Loren Rachel Chan | Nurse Practitioner | 701 E 28th St, Long Beach, CA 90806-2759 | 2019-10-03 |
| 1891349882 | So Young Choi | Physician Assistant | 701 E 28th St, Long Beach, CA 90806-2759 | 2019-07-28 |
| 1851836084 | Ankur Gupta Md Inc | Surgery | 701 E 28th St, Suite #314, Long Beach, CA 90806-2759 | 2016-12-25 |
| 1275990582 | Frank Perreault | Technician, Other | 701 E 28th St, Long Beach, CA 90806-2759 | 2016-01-19 |
| 1396132254 | United Medical Radiology Network | Clinic/Center | 701 E 28th St, Suite 318, Long Beach, CA 90806-2759 | 2015-04-17 |
| 1801287560 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 701 E 28th St, Suite 318, Long Beach, CA 90806-2759 | 2015-02-16 |
| 1528498771 | Dea Kurtovic | Nurse Practitioner | 701 E 28th St, Suite 418, Long Beach, CA 90806-2759 | 2013-11-24 |
| 1962841346 | Mark Alfred Malek | Preventive Medicine | 701 E 28th St, Suite 201, Long Beach, CA 90806-2759 | 2013-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598393076 | Estea Ambulatory Surgery Center, LLC | Clinic/Center | 3440 Atlantic Ave Ste 3, Long Beach, CA 90807-4568 | 2020-03-30 |
| 1750768537 | Wrigley Medical Surgicenter, LLC | Clinic/Center | 2240 Pacific Ave, Long Beach, CA 90806-4372 | 2015-04-30 |
| 1902211477 | Westview Medical Surgical Center, LLC | Clinic/Center | 2990 E Pacific Coast Hwy Ste B, Long Beach, CA 90804-1632 | 2014-06-24 |
| 1881834596 | Long Beach Out Pt Surgery Center | Clinic/Center | 2370 Long Beach Blvd, Long Beach, CA 90806-3260 | 2009-02-20 |
| 1851508667 | South Bay Surgical and Spine Institute | Clinic/Center | 4300 Long Beach Blvd Ste 150, Long Beach, CA 90807-2016 | 2007-05-17 |
| 1982821708 | Wardlow Surgery Center | Clinic/Center | 200 W Wardlow Rd, Long Beach, CA 90807-4429 | 2007-04-20 |
| 1124187208 | Surgical Suite of Southern California, A Medical Corporation | Clinic/Center | 1040 Elm Ave Ste 100, Long Beach, CA 90813-3265 | 2006-12-06 |
| 1154310753 | Long Beach Pain Center & Medical Clinic | Clinic/Center | 2760 Pacific Ave, Long Beach, CA 90806-2613 | 2005-10-17 |
| 1043217615 | Long Beach Surgery Center, Lp | Clinic/Center | 2880 Atlantic Avenue, Suite 160, Long Beach, CA 90806-1715 | 2005-06-28 |
| 1033686951 | Xcell Surgery Center LLC | Clinic/Center | 200 W Wardlow Rd, Long Beach, CA 90807-4429 | 2018-10-29 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
Please comment or provide details below to improve the information on ST. MICHAEL SURGERY CENTER, LLC.
| 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.