SURGICAL EVOLUTION, INC. (NPI# 1699169235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699169235 |
| Entity Type | Organization |
| Organization Name | SURGICAL EVOLUTION, INC. |
| Other Organization Name | SURGICAL EVOLUTION, INC. |
| Practice Address |
409 N Pacific Coast Hwy Ste 166 Redondo Beach CA 90277-2870 |
| Practice Telephone | 8056603510 |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |
| Authorized Official Name | PHILLIP CONNOLLY (OWNER) |
| Authorized Official Telephone | 8056603510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Surgical Evolution, Inc. | Doing Business As Name - Organization |
| Street Address |
409 N PACIFIC COAST HWY STE 166 |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114312196 | Phillip Connolly | Specialist/Technologist, Other | 409 N Pacific Coast Hwy Ste 166, Redondo Beach, CA 90277-2870 | 2015-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629534094 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 2115 Artesia Blvd, Redondo Beach, CA 90278-3013 | 2019-02-11 |
| 1174926851 | Medequip Practice Management, Inc | Durable Medical Equipment & Medical Supplies | 2110 Artesia Blvd Ste 704, Redondo Beach, CA 90278-3073 | 2014-10-08 |
| 1699176636 | Peggy Susan Postnikoff | Durable Medical Equipment & Medical Supplies | 1814 1/2 Pullman Ln, Redondo Beach, CA 90278-4124 | 2014-09-09 |
| 1093098212 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2321 Hawthorne Blvd, Redondo Beach, CA 90278-3400 | 2011-09-23 |
| 1982870762 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 316 Pacific Coast Highway, Redondo Beach, CA 90277 | 2008-05-01 |
| 1740316785 | Sea Breeze Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 1926 S Pacific Coast Hwy, Suite 112, Redondo Beach, CA 90277-6119 | 2007-02-26 |
| 1033276647 | Sea Breeze Medical Supply | Durable Medical Equipment & Medical Supplies | 1926 S Pacific Coast Hwy Ste 112, Redondo Beach, CA 90277-6149 | 2007-01-02 |
| 1831268788 | Sunny Bay Pharmacy | Durable Medical Equipment & Medical Supplies | 500 Torrance Blvd, Redondo Beach, CA 90277-3413 | 2006-11-07 |
| 1407949274 | Berjouhi Helwani | Durable Medical Equipment & Medical Supplies | 401 Torrance Blvd, Redondo Beach, CA 90277-3326 | 2006-10-02 |
| 1760591143 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 401 North Pacific Coast Highway, Redondo Beach, CA 90277-2840 | 2006-08-30 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
Please comment or provide details below to improve the information on SURGICAL EVOLUTION, INC..
| 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.