BRENTWOOD SURGERY CENTER, LLC (NPI# 1982620522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982620522 |
| Entity Type | Organization |
| Organization Name | BRENTWOOD SURGERY CENTER, LLC |
| Other Organization Name | BRENTWOOD SURGERY CENTER |
| Practice Address |
2400 Balfour Rd Suite 320 Brentwood CA 94513-4945 |
| Practice Telephone | 9252402059 |
| Practice Fax Number | 9252402156 |
| Mailing Telephone | 9252402059 |
| Mailing Fax Number | 9252402156 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ALEXANDRA ROSAMOND LUCKHARDT (ADMINISTRATOR) |
| Authorized Official Telephone | 9252402059 |
| Authorized Official Credential | RN |
| 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 |
| Other Name | Type Code |
|---|---|
| Brentwood Surgery Center | Doing Business As Name - Organization |
| Street Address |
2400 BALFOUR RD SUITE 320 |
| City | BRENTWOOD |
| State | CA |
| Zip Code | 94513-4945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699766915 | Surinder Singh Kohal | Emergency Medicine | 2400 Balfour Rd, Suite 120, Brentwood, CA 94513-4945 | 2005-11-04 |
| 1851766984 | John Muir Physician Network | Internal Medicine | 2400 Balfour Rd, #230, Brentwood, CA 94513-4945 | 2015-12-01 |
| 1982025292 | Felicity Pediatrics, A Professional Medical Corporation | Clinic/Center | 2400 Balfour Rd, Suite 302, Brentwood, CA 94513-4945 | 2014-01-04 |
| 1760621528 | John Muir Physician Network | Pediatrics | 2400 Balfour Rd, Suite 229, Brentwood, CA 94513-4945 | 2009-02-18 |
| 1730335605 | Bay Imaging Consultants Medical Group Inc | Radiology | 2400 Balfour Rd, Brentwood, CA 94513-4945 | 2008-08-12 |
| 1801094834 | Nilima Nailinbhai Desai | Family Medicine | 2400 Balfour Rd, Ste 120, Brentwood, CA 94513-4956 | 2007-07-11 |
| 1760687107 | Adric H Huynh | Family Medicine | 2400 Balfour Rd, Suite 120, Brentwood, CA 94513-4945 | 2007-06-16 |
| 1962521765 | Bonnie K, Hillman | Dentist | 2400 Balfour Rd, Suite 309, Brentwood, CA 94513-4945 | 2007-03-29 |
| 1801915830 | Teginder Singh Dhanoa | Family Medicine | 2400 Balfour Rd, Ste 120, Brentwood, CA 94513-4956 | 2007-03-29 |
| 1942325220 | Spencer K Martin | Internal Medicine | 2400 Balfour Rd, Suite 120, Brentwood, CA 94513-4945 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806008 | Brooke Bell | Student in an Organized Health Care Education/Training Program | 1780 Anastasia Drive, Brentwood, CA 94513 | 2018-09-26 |
| 1992287353 | Cheryl Lynn Dobson | Nurse Practitioner | 1206 Silverton Way, Brentwood, CA 94513 | 2018-09-02 |
| 1093212102 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 795 Eden Plains Road, Brentwood, CA 94513 | 2018-04-06 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1770012221 | Rosalind Sheila Raynor | Marriage & Family Therapist | Golden Hills Counseling Center, 2401 Shady Willow Ln., Brentwood, CA 94513 | 2017-06-08 |
| 1427592054 | Tekia Oliver | Private Vehicle | 2758 Saint Andrews Dr., Brentwood, CA 94513 | 2016-12-16 |
| 1467908681 | Abid Niazi | Student in an Organized Health Care Education/Training Program | 2108 Cristina Way, Brentwood, CA 94513 | 2016-08-28 |
| 1346600418 | Foundations Therapy Services | Specialist/Technologist | 101 Continente Ave, Suite 100, Brentwood, CA 94513 | 2016-03-02 |
| 1093171654 | Sabrina Samaniego | Behavioral Analyst | 809 Paririe Rose Way, Brentwood, CA 94513 | 2016-01-12 |
| 1477920841 | Susan C Novak-nizami | Registered Nurse | 2400 Balfour Rd., Patient Support Services, Brentwood, CA 94513 | 2015-09-01 |
| Find all providers in zip 94513 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1659679074 | Eye Surger Center of Middle Tennessee, LLC | Clinic/Center | 215 Jamestown Park, 205, Brentwood, TN 37027-7500 | 2011-03-09 |
| 1245406305 | Center for Aesthetics, Lasers & Advanced Medicine | Clinic/Center | 317 Seven Springs Way, Suite 203, Brentwood, TN 37027-4575 | 2008-05-07 |
| 1174679054 | Crossroads Surgery Center, LLC | Clinic/Center | 1805 Williamson Ct, Suite 200, Brentwood, TN 37027-7974 | 2007-01-25 |
| 1518057546 | Long Island Ambulatory Surgery Center, LLC | Clinic/Center | 601 Suffolk Ave, Brentwood, NY 11717-4309 | 2006-10-13 |
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| 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.