Cabrillo Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A78569 Issued in CA

Legal business name

CABRILLO SURGERY CENTER

Practice address

7695 Cardinal CT
Suite 220
San Diego, CA 92123-3357

Phone

(858) 278-8835

Fax

(858) 386-4776

NPI assigned

Aug 25, 2009

Last updated

Mar 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Walter K Nahm, MDNPI 1467447284

Title

Ceo

Phone

(858) 278-8835

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Cabrillo Surgery CenterCCN 05C0001949

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter K Nahm, M.D., PHD.

  • Dermatology Physician
  • San Diego, CA
  • NPI 1467447284
  Authorized official Same address or phone

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1154554160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT",
            "address_2": "SUITE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-278-8835",
            "fax_number": "858-386-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL CT",
            "address_2": "SUITE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-278-8835",
            "fax_number": "858-386-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABRILLO SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "NAHM",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-278-8835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A78569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jaselle Cabrera
• Yasleen P Cabrera
• Geraldine Batarao Cabreros, LVN
• Cabrillo Center for Rheumatic Disease Apc
• Cabrillo Center for Rheumatic Disease Apc
• Kristian Eli Cabugao, DDS
• Corey Akoni Cabulagan, NP
• Marieangelgrace Alcazarin Caburian
• Eva Rios Cac
• Max Caccese, M.D.

• Ambulatory Surgical Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.