EXECUTIVE SURGERY CENTER, INC. (NPI# 1952698078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952698078 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE SURGERY CENTER, INC. |
| Practice Address |
1320 El Capitan Dr Suite 100 Danville CA 94526-6258 |
| Practice Telephone | 9259630759 |
| Mailing Telephone | 9259630759 |
| Enumeration Date | 2011-07-10 |
| Last Update Date | 2012-04-20 |
| Authorized Official Name | DR. SALIM SHELBY (OWNER) |
| Authorized Official Telephone | 9259630759 |
| 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 |
A69275 | CA | Ambulatory Health Care Facilities |
| Street Address |
1320 EL CAPITAN DR SUITE 100 |
| City | DANVILLE |
| State | CA |
| Zip Code | 94526-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143882 | Murali Dharan | Surgery | 1320 El Capitan Dr, Suite 120, Danville, CA 94526-6258 | 2005-06-10 |
| 1912442062 | Tarley Dialysis LLC | Clinic/Center | 1320 El Capitan Dr, Ste 220, Danville, CA 94526-6258 | 2016-12-28 |
| 1134537178 | Vikram Talwar Md Incorporated | Orthopaedic Surgery | 1320 El Capitan Dr, Suite 200, Danville, CA 94526-6258 | 2014-07-22 |
| 1073920922 | Okamura Medical Group, Inc. | Family Medicine | 1320 El Capitan Dr, Suite 310, Danville, CA 94526-6258 | 2014-07-11 |
| 1679991319 | Judianne Walker D.p.m. Corp. | Podiatrist | 1320 El Capitan Dr, #410, Danville, CA 94526-6258 | 2014-03-31 |
| 1669730339 | Salim M. Shelby Md A Professional Corporation | Specialist | 1320 El Capitan Dr, Suite 110, Danville, CA 94526-6258 | 2012-05-01 |
| 1558649558 | Karthik Mikkineni | Surgery | 1320 El Capitan Dr, Ste 120, Danville, CA 94526-6260 | 2011-07-26 |
| 1093960643 | Aleda A. Longwell | Dermatology | 1320 El Capitan Dr, Danville, CA 94526-6258 | 2008-11-24 |
| 1386856839 | Tanveer A Khan | Surgery | 1320 El Capitan Dr, Ste 120, Danville, CA 94526-6260 | 2007-05-04 |
| 1063537371 | Robert A. Rovner Md A Professional Corporation | Orthopaedic Surgery | 1320 El Capitan Dr, Suite 200, Danville, CA 94526-6258 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
| 1821585415 | Cynthia N Atchoukeu | Behavior Technician | 811 San Ramon Valley Suite 100, Danville, CA 94526 | 2018-04-18 |
| 1649708850 | Michelle Nicole Kolander | Specialist/Technologist | 209 Rutherford Dr, Danville, CA 94526 | 2017-06-01 |
| 1396155594 | Laurie Elizabeth Wallis | Registered Nurse | 145 Town & Country Blvd., Suite 106, Danville, CA 94526 | 2014-04-28 |
| 1437585486 | Brielle Shipman | Chiropractor | 391 Diablo Rd, Ste B, Danville, CA 94526 | 2013-09-23 |
| 1841626298 | Gloria Lynn Kopp | Nurse Practitioner | 309 Windstream Place, Danville, CA 94526 | 2013-09-17 |
| 1023378635 | Vision Dynamics Optometric Center | Optometrist | 417 Sycamore Valley Road West, Danville, CA 94526 | 2012-05-17 |
| 1346517620 | Adam Wallach,m.d. A Professional Corporation | Specialist | 400 El Cerro Blvd., Ste. 204, Danville, CA 94526 | 2011-11-30 |
| 1184949661 | Judianne Marguriette Walker | Podiatrist | 1320 El Capitan Ste 410, Danville, CA 94526 | 2010-03-29 |
| 1619108685 | Brandon Riggins | Counselor | 115 Town and Country Dr., Danville, CA 94526 | 2009-08-07 |
| Find all providers in zip 94526 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891338935 | Excelsior Surgery Center | Clinic/Center | 1320 El Capitan Drive, Danville, CA 94526-6260 | 2019-10-22 |
| 1922440122 | Crow Canyon Surgery Center, Inc. | Clinic/Center | 1320 El Capitan Dr Ste 100, Danville, CA 94526-6260 | 2013-07-29 |
| 1558467936 | Danville Healthcare, LLC | Clinic/Center | 26 W West Newell Rd, Danville, IL 61834-7488 | 2006-09-15 |
| 1144259870 | Blackhawk Surgery Center, A Medical Corp. | Clinic/Center | 3601 Blackhawk Plaza Circle, Danville, CA 94506 | 2006-07-03 |
| 1003463118 | Crow Canyon Surgery Center | Clinic/Center | 1320 El Capitan Dr Ste 100, Danville, CA 94526-6260 | 2019-08-22 |
| 1508113580 | Vermilion County Surgery Center, LLC | Clinic/Center | 26 W West Newell Rd, Danville, IL 61834-7488 | 2012-08-09 |
| 1841551371 | Geisinger Medical Center | Clinic/Center | 16 Woodbine Lane, Danville, PA 17821 | 2012-05-31 |
| 1275832164 | Geisinger Medical Center | Clinic/Center | 16 Woodbine Lane, Danville, PA 17821-9118 | 2011-03-18 |
| 1528197720 | Geisinger Medical Center | Clinic/Center | 100 North Academy Avenue, Danville, PA 17822-4322 | 2007-03-05 |
| 1538101373 | Danville Polyclinic, Ltd | Clinic/Center | 707 N Logan Ave, Danville, IL 61832-4360 | 2006-06-12 |
| Find all providers in DANVILLE | ||||
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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.