Organization Active NPI

SSC Holdings LLC

Doing business as Sedona Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Indio, CA
National Provider Identifier
1033102140
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
250000805 Issued in CA
Legal business name
SSC HOLDINGS LLC
Doing business as
Sedona Surgery Center
Practice address
81812 Dr Carreon Blvd
Suite F
Indio, CA 92201
Phone
(760) 775-2225
Fax
(760) 775-2377
NPI assigned
Aug 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dan Bowers
Title
President
Phone
(760) 775-8019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 250000805 CA Primary

Addresses

Primary practice location

81812 Dr Carreon Blvd
Suite F
Indio, CA 92201

Mailing address

81812 Dr Carreon Blvd
Suite F
Indio, CA 92201
Phone (760) 775-2225

Other names 1

  • Sedona Surgery Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1033102140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81812 DR CARREON BLVD",
            "address_2": "SUITE F",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-775-2225",
            "fax_number": "760-775-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81812 DR CARREON BLVD",
            "address_2": "SUITE F",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92201",
            "telephone_number": "760-775-2225",
            "fax_number": "760-775-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-775-8019"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "250000805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sedona Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.