NPIMap

Organization Active NPI

Inland Valley Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Poway, CA
National Provider Identifier
1356356133
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
INLAND VALLEY SURGICAL CENTER
Practice address
15525 Pomerado Rd., Suite E6
Poway, CA 92064
Phone
(858) 451-2280
Fax
(858) 451-2006
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Jonathan Nissanoff, MDNPI 1134135155
Title
Ceo/Owner
Phone
(858) 451-2280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

15525 Pomerado Rd., Suite E6
Poway, CA 92064

Mailing address

PO Box 502530
San Diego, CA 92150-2530
Phone (858) 451-2280

Other identifiers 1

IdentifierTypeStateIssuer
23424OtherCAAAAHC

Other names 1

  • Nissanoff Surgical Center Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1356356133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502530",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921502530",
            "telephone_number": "858-451-2280",
            "fax_number": "858-451-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD., SUITE E6",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "858-451-2280",
            "fax_number": "858-451-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND VALLEY SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "NISSANOFF",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "858-451-2280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAHC",
            "identifier": "23424",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nissanoff Surgical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.