SOUTH COAST SURGICAL (NPI# 1780949594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780949594 |
| Entity Type | Organization |
| Organization Name | SOUTH COAST SURGICAL |
| Practice Address |
40575 Calif Oaks Rd # D2-122 Murrieta CA 92562-5797 |
| Practice Telephone | 9518944739 |
| Mailing Telephone | 9518944739 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |
| Authorized Official Name | SAM STUCKI (MANAGER) |
| Authorized Official Telephone | 9518944739 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 614072997 | CA | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SOUTH COAST SURGICAL CORP. | 68392 Tioga Dr, North Bend, OR 97459 |
| Street Address |
40575 CALIF OAKS RD # D2-122 |
| City | MURRIETA |
| State | CA |
| Zip Code | 92562-5797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
| 1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
| 1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
| 1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
| 1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| Find all providers in zip 92562 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780147082 | Active Mobility Inc | Durable Medical Equipment & Medical Supplies | 23735 Jackson Ave, Murrieta, CA 92562-2099 | 2019-04-12 |
| 1710446158 | Express Medical Supplies | Durable Medical Equipment & Medical Supplies | 26413 Jefferson Ave Ste D, Murrieta, CA 92562-6979 | 2019-03-15 |
| 1699216705 | John Grande | Durable Medical Equipment & Medical Supplies | 26141 Manzanita St, Murrieta, CA 92563-6320 | 2017-03-09 |
| 1831649821 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27749 Clinton Keith Rd, Murrieta, CA 92562-0000 | 2016-10-13 |
| 1750684205 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 23743 Jackson Ave, Murrieta, CA 92562-1988 | 2010-12-06 |
| 1346542073 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 41765 Elm St, Ste 201, Murrieta, CA 92562-1409 | 2010-12-01 |
| 1528381241 | Global Medical Equipment and Supplies Inc | Durable Medical Equipment & Medical Supplies | 25136 Hancock Ave, Suite B, Murrieta, CA 92562-0905 | 2010-03-09 |
| 1629211412 | Glamour Baths, Inc. | Durable Medical Equipment & Medical Supplies | 26372 Deere Ct, Suite H, Murrieta, CA 92562-7075 | 2009-04-09 |
| 1942451331 | M. H. Peters & Associates, Inc. | Durable Medical Equipment & Medical Supplies | 40685 California Oaks Rd, Suite G, Murrieta, CA 92562-5756 | 2008-10-04 |
| 1831367523 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 24655 Monroe Ave Ste 101, Murrieta, CA 92562-9598 | 2008-02-14 |
| Find all providers in MURRIETA | ||||
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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.