MILLCREEK AMBULATORY SURGERY CENTER (NPI# 1770906141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770906141 |
| Entity Type | Organization |
| Organization Name | MILLCREEK AMBULATORY SURGERY CENTER |
| Practice Address |
2822 W Main St Visalia CA 93291-4331 |
| Practice Telephone | 5596254119 |
| Practice Fax Number | 5596259941 |
| Mailing Telephone | 5596254119 |
| Mailing Fax Number | 5596259941 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |
| Authorized Official Name | DR. MICHAEL B STEVENS (OWNER) |
| Authorized Official Telephone | 5596258636 |
| Authorized Official Credential | M.D., PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1200629 | CA | Ambulatory Health Care Facilities |
| Street Address |
2822 W MAIN ST |
| City | VISALIA |
| State | CA |
| Zip Code | 93291-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
| 1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
| 1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
| 1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
| 1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
| 1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
| 1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
| 1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
| 1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
| 1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
| Find all providers in zip 93291 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124333497 | Barnes Dental Corporation Inc | Clinic/Center | 2626 S. Mooney Blvd, Suite C, Visalia, CA 93277 | 2010-08-11 |
| 1891732202 | Visalia Center for Ambulatory Medicine and Surgery | Clinic/Center | 111 E Noble Ave, Visalia, CA 93277-2700 | 2006-06-02 |
| 1992752794 | Sierra Ambulatory Surgery Center, A Medical Corporation | Clinic/Center | 2828 W Main St, Visalia, CA 93291-4331 | 2006-05-27 |
| 1457329963 | Sequoia Surgery Center, LLC | Clinic/Center | 842 S. Akers St, Visalia, CA 93277-8309 | 2006-03-09 |
| 1760859334 | Visalia Ambulatory Surgical Center LLC | Clinic/Center | 105 E Noble Ave, Visalia, CA 93277-2717 | 2015-08-29 |
| 1053643783 | Visalia Children's Dental Surgery Center Inc | Clinic/Center | 136 Aspen Court, Suite A, Visalia, CA 93291 | 2010-02-05 |
| 1265651756 | Kyle B. Potts, M.d., Inc. | Clinic/Center | 805 W Acequia Ave, Suite 2-a, Visalia, CA 93291-6162 | 2007-04-24 |
| 1639267388 | Medical Arts Ambulatory Surgery Center | Clinic/Center | 205 S West St, Suite B, Visalia, CA 93291-6112 | 2006-10-10 |
| 1235187972 | Noble Surgery Center | Clinic/Center | 5021 W Noble Ave, Suite B, Visalia, CA 93277-8310 | 2006-05-05 |
| 1679534614 | Courtyard Surgery Pavilion, Inc | Clinic/Center | 112 N Akers St, Suite B, Visalia, CA 93291-5121 | 2006-03-29 |
| Find all providers in VISALIA | ||||
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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.