OUTPATIENT SURGERY OF POINT LOMA (NPI# 1760581342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760581342 |
| Entity Type | Organization |
| Organization Name | OUTPATIENT SURGERY OF POINT LOMA |
| Practice Address |
3434 Midway Dr #1006 San Diego CA 92110-4923 |
| Mailing Address |
12021 Wilshire Blvd #864 Los Angeles CA 90025-1206 |
| Practice Telephone | 6192232271 |
| Mailing Telephone | 3104715852 |
| Mailing Fax Number | 3104729582 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID M. KUPFER (OWNER) |
| Authorized Official Telephone | 6192232271 |
| Authorized Official Credential | M.D. |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SUR01268F | 05 |
| Street Address |
3434 MIDWAY DR #1006 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-4923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241452 | Mark J Tamsen | Emergency Medicine | 3434 Midway Dr, Ste 1002, San Diego, CA 92110-4923 | 2005-08-10 |
| 1114312543 | Kelsey Quinn Gaffney | Physical Therapist | 3434 Midway Dr, Suite 2005a, San Diego, CA 92110-4923 | 2015-04-02 |
| 1497171342 | Evergreen Surgical Center, LLC | Clinic/Center | 3434 Midway Dr, Suite 1008, San Diego, CA 92110-4923 | 2014-03-14 |
| 1720386519 | San Diego Surgery LLC | Specialist | 3434 Midway Dr, 1008, San Diego, CA 92110-4923 | 2011-03-03 |
| 1992003784 | San Diego Ultrasound LLC | Specialist | 3434 Midway Dr, Suite 1008, San Diego, CA 92110-4923 | 2011-03-03 |
| 1346547767 | San Diego Gastroenterology LLC | Specialist | 3434 Midway Dr, Suite 1008, San Diego, CA 92110-4923 | 2011-02-21 |
| 1912239013 | San Diego Ambulatory Surgery Center LLC | Clinic/Center | 3434 Midway Dr, Suite 1006, San Diego, CA 92110-4923 | 2010-02-01 |
| 1073783064 | Richard C. Richley M.d. Inc | Specialist | 3434 Midway Dr, Suite 2001, San Diego, CA 92110-4923 | 2008-03-05 |
| 1518097344 | David M. Kupfer, M.d., Inc. | Plastic Surgery | 3434 Midway Dr, Suite 2004, San Diego, CA 92110-4923 | 2007-03-07 |
| 1851314660 | Richard C Richley | Specialist | 3434 Midway Dr, Suite 2001, San Diego, CA 92110-4923 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275006173 | Balboa Surgical Institute, Inc. | Clinic/Center | 7625 Mesa College Drive, Suite 315a, San Diego, CA 92111-5343 | 2019-01-03 |
| 1598276404 | Balboa Nephrology Medical Group,inc. | Clinic/Center | 6402 El Cajon Blvd Ste 100, San Diego, CA 92115-2645 | 2017-10-18 |
| 1316462377 | Ucsd Surgical Center of San Diego, LLC | Clinic/Center | 4910 Directors Pl Ste 100, San Diego, CA 92121-3814 | 2017-08-10 |
| 1710325220 | Carmel Valley Surgical Center | Clinic/Center | 11943 El Camino Real, Suite 100, San Diego, CA 92130-2597 | 2013-06-06 |
| 1346515095 | Medical Acadamy of Hawaii and Anatomical Learning Orginization | Clinic/Center | 5286 Eastgate Mall, San Diego, CA 92121-2815 | 2012-03-14 |
| 1245534460 | The Hilinski Ambulatory Surgery Center | Clinic/Center | 3720 4th Avenue, San Diego, CA 92103 | 2011-01-03 |
| 1538463153 | La Jolla Surgery Center | Clinic/Center | 4510 Executive Dr Ste 200a, San Diego, CA 92121-3023 | 2010-12-23 |
| 1922324177 | Surgical Center of San Diego, LLC | Clinic/Center | 4910 Directors Place, Suite 100, San Diego, CA 92121-3814 | 2010-04-13 |
| 1194968677 | Professional Surgicenter, Inc | Clinic/Center | 4510 Executive Dr Ste 105a, San Diego, CA 92121-3022 | 2009-04-13 |
| 1578729539 | The Reservoir Physicans Surgery Center, LLC | Clinic/Center | 6716 Alvarado Rd, San Diego, CA 92120 | 2008-07-30 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on OUTPATIENT SURGERY OF POINT LOMA.
| 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.