Active NPI
SSC Holdings LLC
Doing business as Sedona Surgery Center
- Ambulatory Surgical Clinic/Center
- Indio, CA
National Provider Identifier
1033102140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 250000805
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Palm Desert, CA
- NPI 1730208059
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
- Jacqueline Spera
- Spring Valley Inc (White Smile Dental)
- Madison Renee Sprinkle
- Kurt Andrew Spurgin, D.C.
- Sr Abhyankar MD Professional Corporation
- St. John's Community Health
- St. John's Community Health
- Steven Alan Stafford, LVN
- Stagecoach Healthcare, Inc. (Desert Mountain Care Center)
- Michael Glenn Stamper
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.