TRESANTI SURGICAL CENTER LLC (NPI# 1801983556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801983556 |
Entity Type | Organization |
Organization Name | TRESANTI SURGICAL CENTER LLC |
Other Organization Name | TRESANTI MEDICAL CORPORATION |
Practice Address |
5201 Norris Canyon Road #100 San Ramon CA 94583 |
Practice Telephone | 9259730605 |
Practice Fax Number | 9259730653 |
Mailing Telephone | 9259730605 |
Mailing Fax Number | 9259730653 |
Enumeration Date | 2006-10-06 |
Last Update Date | 2017-07-26 |
Authorized Official Name | JENETHA MORAN (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 9727633893 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
140000665 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE RAILROAD | P00069274 | 01 |
CA | STATE OF CA DEPT OF HEALT | 140000665 | 01 |
Other Name | Type Code |
---|---|
Tresanti Medical Corporation | Former Legal Business Name - Organization |
Street Address |
5201 NORRIS CANYON ROAD #100 |
City | SAN RAMON |
State | CA |
Zip Code | 94583 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144323676 | Alan Carl Roth | Physical Medicine & Rehabilitation | 5201 Norris Canyon Road, Suite 320, San Ramon, CA 94583 | 2006-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
Find all providers in zip 94583 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750812897 | Park Place Surgery Center LLC | Clinic/Center | 100 Park Pl Ste 110, San Ramon, CA 94583-4460 | 2017-03-21 |
1467999813 | Webster Surgery Center, Lp | Clinic/Center | 200 Porter Drive, Suite 100, San Ramon, CA 94583 | 2017-01-24 |
1710422423 | Iron Horse Surgery Center, LLC | Clinic/Center | 100 Park Place, #110b, San Ramon, CA 94583 | 2017-01-04 |
1790936847 | Rsc Surgery Center, LLC | Clinic/Center | 100 Park Place, Suite 200, San Ramon, CA 94583 | 2008-10-07 |
1306882956 | San Ramon Surgery Center, Lp | Clinic/Center | 200 Porter Dr, Ste. 100, San Ramon, CA 94583-1587 | 2006-06-21 |
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1790384303 | Abroms Dougherty Vision Asc LLC | Clinic/Center | 4472 Broad St Ste 150, San Luis Obispo, CA 93401-7933 | 2020-10-23 |
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.