CONCIERGE SURGICAL CENTER (NPI# 1972038818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972038818 |
| Entity Type | Organization |
| Organization Name | CONCIERGE SURGICAL CENTER |
| Practice Address |
860 Oak Park Blvd Ste 102 Arroyo Grande CA 93420-1800 |
| Mailing Address |
860 Oak Park Blvd Ste 301 Arroyo Grande CA 93420-1800 |
| Practice Telephone | 8054746383 |
| Mailing Telephone | 8054746383 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-12-20 |
| Authorized Official Name | MR. SHAUN LEA (CRNA) |
| Authorized Official Telephone | 8054746383 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
57590 | CA | Ambulatory Health Care Facilities |
| Street Address |
860 OAK PARK BLVD STE 102 |
| City | ARROYO GRANDE |
| State | CA |
| Zip Code | 93420-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407842792 | Nolan T Higa | Anesthesiology | 860 Oak Park Blvd, Suite 102, Arroyo Grande, CA 93420-1800 | 2005-09-22 |
| 1083048169 | Marisa N Barber | Physician Assistant | 860 Oak Park Blvd, Ste 101, Arroyo Grande, CA 93420-1800 | 2013-08-26 |
| 1609030683 | Jason Aquino Buranday | Physician Assistant | 860 Oak Park Blvd, Suite 101, Arroyo Grande, CA 93420-1800 | 2008-07-18 |
| 1609048529 | Coast Nursing Anesthesia, Inc | Nurse Anesthetist, Certified Registered | 860 Oak Park Blvd, Arroyo Grande, CA 93420-1800 | 2008-03-31 |
| 1144354655 | Gregory S Pritchett | Dentist | 860 Oak Park Blvd, Ste. 201, Arroyo Grande, CA 93420-1800 | 2007-03-15 |
| 1295877207 | Frank Eugene Scott Jr. | Internal Medicine | 860 Oak Park Blvd, Suite 204, Arroyo Grande, CA 93420-1800 | 2007-02-13 |
| 1700997293 | Nolan T. Higa, Md, Inc. | Anesthesiology | 860 Oak Park Blvd, Suite 102, Arroyo Grande, CA 93420-1800 | 2006-08-31 |
| 1477571370 | Arthritis Medical Center of The Central Coast A Medical Corporation | Internal Medicine | 860 Oak Park Blvd, Ste 204, Arroyo Grande, CA 93420-1800 | 2006-07-18 |
| 1750308763 | Surgical Specialties of Arroyo Grande Inc. | Clinic/Center | 860 Oak Park Blvd, 102, Arroyo Grande, CA 93420-1800 | 2006-07-16 |
| 1639118110 | Thomas Daniel Ferro | Orthopaedic Surgery | 860 Oak Park Blvd, Suite 101, Arroyo Grande, CA 93420-1800 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337174 | Element Nutrition Company, LLC | Dietitian, Registered | 405 E. Branch St. #102, Arroyo Grande, CA 93420 | 2020-02-06 |
| 1861965055 | Pacific Central Coast Health Centers | Clinic/Center | 850 Fair Oaks Ave Ste 310, Arroyo Grande, CA 93420 | 2019-01-10 |
| 1629552815 | Leanne Marie Ford | Physician Assistant | 536 Camino Mercado, Arroyo Grande, CA 93420 | 2018-09-24 |
| 1730662107 | Kelli Thompson Hamma | Massage Therapist | 630 Lancaster Dr, Arroyo Grande, CA 93420 | 2018-09-12 |
| 1063962595 | Suzanne Erickson | Social Worker | 2820 Poquito Place, Arroyo Grande, CA 93420 | 2016-10-07 |
| 1255888459 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2119 Lopez Dr, Arroyo Grande, CA 93420 | 2016-09-06 |
| 1225585664 | Tikva Treatment | Substance Abuse Rehabilitation Facility | 170 Nelson Street, Suite 102, Arroyo Grande, CA 93420 | 2016-09-01 |
| 1831541986 | Tikva Treatment LLC | Clinic/Center | 621 E Grande Ave, Arroyo Grande, CA 93420 | 2016-07-12 |
| 1255788543 | David E. Yocum, M.d., A Medical Corporation | Internal Medicine | 860 Oak Park Blvd., #204, Arroyo Grande, CA 93420 | 2016-05-17 |
| 1689059800 | David Hikaru Lindsey | Dentist | 203 Station Way, Arroyo Grande, CA 93420 | 2015-07-29 |
| Find all providers in zip 93420 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396700753 | Halcyon Laser & Surgery Center, Inc. | Clinic/Center | 303 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2006-04-19 |
| 1255459020 | James L Grisez, Md | Clinic/Center | 200 Station Way, Ste 200b, Arroyo Grande, CA 93420-3348 | 2007-03-27 |
| 1750308763 | Surgical Specialties of Arroyo Grande Inc. | Clinic/Center | 860 Oak Park Blvd, 102, Arroyo Grande, CA 93420-1800 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | ARROYO GRANDE |
| Zip Code | 93420 |
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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.