WATSONVILLE SURGEONS GROUP LLC (NPI# 1790799047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790799047 |
| Entity Type | Organization |
| Organization Name | WATSONVILLE SURGEONS GROUP LLC |
| Other Organization Name | CENTRAL COAST SURGERY CENTER |
| Practice Address |
160 Green Valley Rd Suite 101 Freedom CA 95019-3160 |
| Practice Telephone | 8317639700 |
| Practice Fax Number | 8317639799 |
| Mailing Telephone | 8317639700 |
| Mailing Fax Number | 8317639799 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | PATRICK SEUBERT HALEY (TREASURER) |
| Authorized Official Telephone | 8314625512 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
070000651 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SUR01580F | 05 |
| Other Name | Type Code |
|---|---|
| Central Coast Surgery Center | Doing Business As Name - Organization |
| Street Address |
160 GREEN VALLEY RD SUITE 101 |
| City | FREEDOM |
| State | CA |
| Zip Code | 95019-3160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154969806 | Stacey C Hanlon Md PC | Anesthesiology | 160 Green Valley Rd, Freedom, CA 95019-3160 | 2019-12-12 |
| 1871849984 | Anne Morganti Kato | Ophthalmology | 160 Green Valley Rd, #202, Freedom, CA 95019-3160 | 2012-07-26 |
| 1033342829 | John V. Crowder Jr M.d. Inc. | Ophthalmology | 160 Green Valley Rd, Suite202, Freedom, CA 95019-3160 | 2009-08-27 |
| 1013150085 | William C Kadell | Optometrist | 160 Green Valley Rd, Suite 202, Freedom, CA 95019-3160 | 2009-04-07 |
| 1104095058 | Conrad Hamako, M.d. Inc. | Ophthalmology | 160 Green Valley Rd, Suite 202, Freedom, CA 95019-3160 | 2008-02-25 |
| 1841469798 | John V Crowder Jr Md Inc | Ophthalmology | 160 Green Valley Rd, Suite 202, Freedom, CA 95019-3160 | 2008-02-25 |
| 1558565416 | Thomas M Leverone M D Inc | Anesthesiology | 160 Green Valley Rd, Freedom, CA 95019-3160 | 2007-06-13 |
| 1831391937 | Douglas A Liddicoat Inc | Ophthalmology | 160 Green Valley Rd, Suite 202, Freedom, CA 95019-3160 | 2007-06-01 |
| 1164560066 | Coastal Eye Associates, A Medical Corporation | Ophthalmology | 160 Green Valley Rd, Suite 202, Freedom, CA 95019-3160 | 2007-02-02 |
| 1669551271 | Green Valley Laser, LLC | Durable Medical Equipment & Medical Supplies | 160 Green Valley Rd, Suite 201, Freedom, CA 95019-3160 | 2006-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757428 | J. B. Physical Therapy, Inc. | Physical Therapist | 212 Green Valley Road, Freedom, CA 95019 | 2018-07-24 |
| 1639514441 | Isamar Baeza | Counselor | 2716 Freedom Blvd., Freedom, CA 95019 | 2013-05-07 |
| 1174891386 | Lisa Patrice Hamil | Pharmacist | 1810 Freedom Blvd., Freedom, CA 95019 | 2011-12-02 |
| 1346363710 | Chad Truong | Dentist | 2016 Freedom Boulevard, Freedom, CA 95019 | 2007-04-09 |
| 1962539585 | Frederick Wen Kang Chen | Internal Medicine | 243 Green Valley Rd Suite #e, Freedom, CA 95019 | 2007-02-28 |
| 1538277819 | Jacqueline Morris-lopez | Physician Assistant | 108 Green Valley Rd, Freedom, CA 95019 | 2006-08-28 |
| 1912979725 | Angela Molina | Anesthesiology | 160 Green Valley Rd Ste 101, Freedom, CA 95019 | 2006-02-06 |
| 1194704973 | David A South Md & Kim M Albridge Md A Medical Corporation | Dermatology | 204 Green Valley Road, Freedom, CA 95019 | 2006-01-11 |
| 1699232108 | Kayhan Mashouf Dmd Inc | Dentist | 270 Green Valley Rd, Freedom, CA 95019 | 2019-02-21 |
| 1194215434 | Hai Phu Duong | Pharmacist | 1810 Freedom Blvd, Freedom, CA 95019 | 2018-05-11 |
| Find all providers in zip 95019 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760423180 | Central Coast Endoscopy Center Inc | Clinic/Center | 243 Green Valley Rd, Ste F, Freedom, CA 95019-3133 | 2006-06-09 |
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|---|---|---|---|---|
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| 1861091993 | Willow Vista Surgical Center | Clinic/Center | 39810 Portola Ave, Palm Desert, CA 92260-0624 | 2020-10-20 |
| 1366041469 | The Regents of The University of California | Clinic/Center | 4343 Lankershim Blvd Ste 210, North Hollywood, CA 91602-2705 | 2020-10-20 |
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1538775267 | Ev Surgery Institute LLC | Clinic/Center | 105 N Bascom Ave Ste 105, San Jose, CA 95128-1811 | 2020-09-18 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1811501661 | Precision Surgical Arts | Clinic/Center | 20311 Sw Birch St Ste 201, Newport Beach, CA 92660-1777 | 2020-08-31 |
| 1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
| 1740891571 | Peninsula Surgery Center, LLC | Clinic/Center | 350 Marine Pkwy Ste 100, Redwood City, CA 94065-5224 | 2020-08-14 |
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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.