PACIFIC MINIMALLY INVASIVE SURGEONS, INC


Address: 1330 W Covina Blvd, Suite 101, San Dimas, CA 91773-3200
Phone: 9095996784

PACIFIC MINIMALLY INVASIVE SURGEONS, INC (NPI# 1760681043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760681043
Entity Type Organization
Organization Name PACIFIC MINIMALLY INVASIVE SURGEONS, INC
Practice Address 1330 W Covina Blvd
Suite 101
San Dimas
CA 91773-3200
Practice Telephone 9095996784
Practice Fax Number 9095997073
Mailing Telephone 9095996784
Mailing Fax Number 9095997073
Enumeration Date 2007-07-16
Last Update Date 2007-07-16
Authorized Official Name DR. DONNA E DUDZIAK (PRESIDENT)
Authorized Official Telephone 9095996784
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery A87866 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX MEDICARE ID TYPE UNSPECIF 8G0894 01

Office Location

Street Address 1330 W COVINA BLVD
SUITE 101
City SAN DIMAS
State CA
Zip Code 91773-3200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154328268 Stephen Siu Meng Lau Pharmacist 1330 W Covina Blvd, San Dimas, CA 91773-3200 2005-07-05
1144565805 Southern California Associated Neurologists Ipa Inc Health Maintenance Organization 1330 W Covina Blvd, Suite 103, San Dimas, CA 91773-3200 2012-12-06
1720366677 Habib A. Ismail, M.d., Inc. Psychiatry & Neurology 1330 W Covina Blvd, Suite 103, San Dimas, CA 91773-3200 2011-07-26
1366765497 Mohsen I. Ali, M.d. Inc. Psychiatry & Neurology 1330 W Covina Blvd, Suite 103, San Dimas, CA 91773-3200 2010-03-03
1457513368 Victor Morales Obstetrics & Gynecology 1330 W Covina Blvd, Suite 201, San Dimas, CA 91773-3200 2008-07-01
1841499563 Michael G Madanat Pediatrics 1330 W Covina Blvd, Suite 106, San Dimas, CA 91773-3200 2007-07-12
1619090461 S. Mourani & E. Trakji Medical Partnership Internal Medicine 1330 W Covina Blvd, Suite 203, San Dimas, CA 91773-3200 2007-04-09
1720164551 Rambod Amani Yazdi Md Corp Internal Medicine 1330 W Covina Blvd, Suite206, San Dimas, CA 91773-3200 2006-10-27
1578648523 Raymond J. Esparza Md Inc. Internal Medicine 1330 W Covina Blvd, Ste 203, San Dimas, CA 91773-3200 2006-10-26
1952499378 Foothill Pediatric & Adolescent Clinic Pediatrics 1330 W Covina Blvd, Suite 106, San Dimas, CA 91773 2006-10-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114533114 Bonita Counseling Center Marriage & Family Therapist 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 2020-09-16
1457824419 Georgina Almaraz Case Manager/Care Coordinator 677 Cliffside Dr Ste 677, San Dimas, CA 91773 2019-01-02
1922581560 Readirides, Inc. Non-emergency Medical Transport (VAN) 451 W Bonita Ave Ste 14, San Dimas, CA 91773 2018-09-10
1710468376 Marianne Shehata Dentist 925 Avenida Loma Vista, San Dimas, CA 91773 2018-08-22
1750875738 Compassionate Hearts Home Health, Inc. Home Health 237 W Bonita Ave Ste F, San Dimas, CA 91773 2018-06-21
1548786056 Era Life Care Home Health 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 2017-08-16
1700302569 Melanie Sabrina Schmuck Physical Therapist 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 2017-08-14
1811410111 Nicole Geraldine Skinner Social Worker 762 W Cypress St, San Dimas, CA 91773 2017-07-19
1245760842 Caren Senn Dietitian, Registered 917 Laramie Drive, San Dimas, CA 91773 2017-06-15
1417485020 Young Mi Kim Acupuncturist 1121 Via Verde, San Dimas, CA 91773 2017-05-25
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538169479 Mark Frederick Anapoell Surgery 1330 W Covina Blvd, Suite 101, San Dimas, CA 91773-3200 2005-07-21
1629078589 San Gabriel Valley Surgical Medical Grp, Inc Surgery 1330 W Covina Blvd, Suite 101, San Dimas, CA 91773-3200 2005-07-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396344321 Sadeghi Medical Corporation Surgery 3871 Piedmont Ave # 105, Oakland, CA 94611-5378 2020-10-21
1295332823 Vneo Medical Clinic Inc Surgery 6817 1/2 Kester Ave, Van Nuys, CA 91405-3716 2020-10-06
1619584497 Prohealth Partners A Medical Group Surgery 3628 E Imperial Hwy Ste 303, Lynwood, CA 90262-2646 2020-09-25
1235744004 Yvette Speight Md Inc Surgery 433 N Doheny Dr, Beverly Hills, CA 90210-5734 2020-09-09
1538786900 Tdwo Inc Surgery 57445 29 Palms Hwy Ste 301, Yucca Valley, CA 92284-2947 2020-07-01
1003439746 Howard Takiff Surgery 760 La Canada St, La Jolla, CA 92037-6724 2020-05-27
1629698253 Gisela Regalado Paredes Surgery Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 2020-04-23
1811517667 John K Colwell Surgery 222 Hollywood Ave, Los Gatos, CA 95030 2020-04-22
1295361772 William Robert Berry Surgery 5775 Del Cerro Blvd, San Diego, CA 92120-4513 2020-03-17
1497380638 Bay Area Medical and Surgical Group, Inc. Surgery 490 Post St Ste 530, San Francisco, CA 94102-1412 2020-03-09
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Competitor

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City SAN DIMAS
Zip Code 91773

Improve Information

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Dataset Information

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.

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