SDOSC, LP (NPI# 1942261599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942261599 |
| Entity Type | Organization |
| Organization Name | SDOSC, LP |
| Other Organization Name | SAN DIEGO OUTPATIENT AMBULATORY SURGICAL CENTER |
| Practice Address |
770 Washington St Suite 101 San Diego CA 92103-2209 |
| Practice Telephone | 6192999530 |
| Practice Fax Number | 6192993259 |
| Mailing Telephone | 6192999530 |
| Mailing Fax Number | 6192993259 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHRISTOPHER HALL GLAZENER (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6192999530 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT11824G | 05 | |
| BLUE SHIELD | ZZZH3742Z | 01 | |
| BLUE CROSS | 051012 | 01 |
| Other Name | Type Code |
|---|---|
| San Diego Outpatient Ambulatory Surgical Center | Doing Business As Name - Organization |
| Street Address |
770 WASHINGTON ST SUITE 101 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166291 | Richard M Braun | Specialist | 770 Washington St, San Diego, CA 92103-2209 | 2005-09-29 |
| 1003323189 | Sarah Newton Gruszka | Psychologist | 770 Washington St, 200, San Diego, CA 92103-2204 | 2018-01-10 |
| 1144644170 | Artemis Medical Group, Inc. | Clinic/Center | 770 Washington St, Suite 200, San Diego, CA 92103-2209 | 2014-02-11 |
| 1851600076 | John Carroll Schmidt Md Inc | Anesthesiology | 770 Washington St, Suite 101, San Diego, CA 92103-2209 | 2010-10-05 |
| 1144472754 | Vishaal Mehra | Psychiatry & Neurology | 770 Washington St, Suite 200, San Diego, CA 92103-2209 | 2008-10-14 |
| 1588846570 | Richard M. Braun, M.d., Inc. | Specialist | 770 Washington St, Suite 301, San Diego, CA 92103-2209 | 2007-11-30 |
| 1144363052 | Richard M Braun Inc | Specialist | 770 Washington St, #207, San Diego, CA 92103-2209 | 2007-02-14 |
| 1336280031 | Purvi Kothari Mehra | Internal Medicine | 770 Washington St, Suite #200, San Diego, CA 92103-2209 | 2007-02-08 |
| 1528094323 | John C Schmidt | Anesthesiology | 770 Washington St, #101, San Diego, CA 92103-2209 | 2006-06-23 |
| 1972540730 | Richard Michael Green | Podiatrist | 770 Washington St, Suite 202, San Diego, CA 92103-2209 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275006173 | Balboa Surgical Institute, Inc. | Clinic/Center | 7625 Mesa College Drive, Suite 315a, San Diego, CA 92111-5343 | 2019-01-03 |
| 1598276404 | Balboa Nephrology Medical Group,inc. | Clinic/Center | 6402 El Cajon Blvd Ste 100, San Diego, CA 92115-2645 | 2017-10-18 |
| 1316462377 | Ucsd Surgical Center of San Diego, LLC | Clinic/Center | 4910 Directors Pl Ste 100, San Diego, CA 92121-3814 | 2017-08-10 |
| 1710325220 | Carmel Valley Surgical Center | Clinic/Center | 11943 El Camino Real, Suite 100, San Diego, CA 92130-2597 | 2013-06-06 |
| 1346515095 | Medical Acadamy of Hawaii and Anatomical Learning Orginization | Clinic/Center | 5286 Eastgate Mall, San Diego, CA 92121-2815 | 2012-03-14 |
| 1245534460 | The Hilinski Ambulatory Surgery Center | Clinic/Center | 3720 4th Avenue, San Diego, CA 92103 | 2011-01-03 |
| 1538463153 | La Jolla Surgery Center | Clinic/Center | 4510 Executive Dr Ste 200a, San Diego, CA 92121-3023 | 2010-12-23 |
| 1922324177 | Surgical Center of San Diego, LLC | Clinic/Center | 4910 Directors Place, Suite 100, San Diego, CA 92121-3814 | 2010-04-13 |
| 1194968677 | Professional Surgicenter, Inc | Clinic/Center | 4510 Executive Dr Ste 105a, San Diego, CA 92121-3022 | 2009-04-13 |
| 1578729539 | The Reservoir Physicans Surgery Center, LLC | Clinic/Center | 6716 Alvarado Rd, San Diego, CA 92120 | 2008-07-30 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on SDOSC, LP.
| 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.