LAKESIDE SURGERY CENTER LP (NPI# 1760423297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760423297 |
| Entity Type | Organization |
| Organization Name | LAKESIDE SURGERY CENTER LP |
| Practice Address |
5700 San Fernando Rd Glendale CA 91202-2104 |
| Practice Telephone | 8186377766 |
| Practice Fax Number | 8189561706 |
| Mailing Telephone | 8186377766 |
| Mailing Fax Number | 8189561706 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-12-13 |
| Authorized Official Name | LISA R DEBRUNO (ADMINISTRATOR) |
| Authorized Official Telephone | 8186377766 |
| 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 |
5700 SAN FERNANDO RD |
| City | GLENDALE |
| State | CA |
| Zip Code | 91202-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427470053 | La Quality Care Anesthesia Consultants Inc | Anesthesiology | 5700 San Fernando Rd, Glendale, CA 91202-2104 | 2014-01-16 |
| 1093156937 | Quality Care Surgery Center, LLC | Clinic/Center | 5700 San Fernando Rd, Glendale, CA 91202-2104 | 2013-07-08 |
| 1689934655 | Elena Cho | Anesthesiology | 5700 San Fernando Rd, Glendale, CA 91202 | 2012-05-23 |
| 1548551930 | Jerrold C Bustos Md, Inc | Anesthesiology | 5700 San Fernando Rd, Glendale, CA 91202-2104 | 2011-04-20 |
| 1801085261 | Karina Vanessa Foster | Anesthesiology | 5700 San Fernando Rd, Glendale, CA 91202-2104 | 2007-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538857 | Forever Active Cbas | Clinic/Center | 1111 W Glenoaks Blvd, Glendale, CA 91202 | 2018-11-29 |
| 1144724436 | Kristine Bustos | Nurse Practitioner | 1200 N Pacific Ave Ste 104, Glendale, CA 91202 | 2018-03-21 |
| 1295159614 | Kevin Lew | Dentist | 1122 N. Brand Blvd. Suite 102, Glendale, CA 91202 | 2014-02-05 |
| 1568709350 | Helen Chalakians | Counselor | 525 Glenwood Rd, Glendale, CA 91202 | 2013-01-14 |
| 1316216161 | Teresa Eligio | Nurse Practitioner | 857 Grant Ave, Glendale, CA 91202 | 2011-12-23 |
| 1033486139 | Advance Hospice Care, Inc. | Home Health | 1209 N. Central Ave Suite 204, Glendale, CA 91202 | 2011-11-18 |
| 1659518785 | Sarine Davityan | Marriage & Family Therapist | 1010 N Central Ave # 310, Glendale, CA 91202 | 2009-01-12 |
| 1760635619 | Tatiana Mikaelian Dds Inc | Dentist | 1209 N. Central Ave, #203, Glendale, CA 91202 | 2008-10-23 |
| 1669624219 | Marine Demirjian | Allergy & Immunology | 1131 N Pacific Ave, Glendale, CA 91202 | 2008-10-15 |
| 1902055783 | Lousine Vahagn Kirakosian | Dentist | 125 E. Glenoaks Blvd., Suite 103, Glendale, CA 91202 | 2008-09-16 |
| Find all providers in zip 91202 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276952 | Arrowhead North Surgery Center, LLC | Clinic/Center | 16390 N 59th Ave Ste 100, Glendale, AZ 85306-1711 | 2020-05-07 |
| 1578197869 | Windsor Surgery Center LLC | Clinic/Center | 800 S Central Ave Ste 102, Glendale, CA 91204-4370 | 2020-02-26 |
| 1740814938 | Windsor Surgery Center of Glendale LLC | Clinic/Center | 800 S Central Ave Ste 103, Glendale, CA 91204-4395 | 2020-02-26 |
| 1700417797 | Broadway Wellness Center Inc | Clinic/Center | 716 W Broadway Ste 100, Glendale, CA 91204-1010 | 2020-01-29 |
| 1891257473 | Westgate Surgery Center, LLC | Clinic/Center | 7330 N 99th Ave Ste 100, Glendale, AZ 85307-3016 | 2019-04-03 |
| 1194291401 | Affiliated Physicians & Surgeons, Ltd | Clinic/Center | 20325 N 51st Ave Ste 102-104, Glendale, AZ 85308-5674 | 2018-10-15 |
| 1558853234 | Broadway Laser Surgical Institute, Inc. | Clinic/Center | 1100 E Broadway Ste 201, Glendale, CA 91205-1380 | 2018-05-30 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1194185637 | Avalon Surgery and Robotic Center, LLC | Clinic/Center | 716 W Broadway Ste 200, Glendale, CA 91204-1010 | 2016-02-25 |
| 1568820892 | Socal Outpatient Surgery Center | Clinic/Center | 1141 N Brand Blvd Ste 202, Glendale, CA 91202-3660 | 2016-02-01 |
| Find all providers in GLENDALE | ||||
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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.