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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | A87866 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | MEDICARE ID TYPE UNSPECIF | 8G0894 | 01 |
Street Address |
1330 W COVINA BLVD SUITE 101 |
City | SAN DIMAS |
State | CA |
Zip Code | 91773-3200 |
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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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 |
Find all providers in zip 91773 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
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. |
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 |
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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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.