Rochester Imperial Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ROCHESTER IMPERIAL SURGICAL CENTER LLC

Practice address

36243 Inland Valley Dr
Ste 10
Wildomar, CA 92595-9549

Phone

(951) 735-7246

Fax

(951) 268-9516

NPI assigned

Apr 25, 2014

Last updated

Jun 19, 2014By 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. Sanjoy Banerjee, M.DNPI 1295773422

Title

Owner

Phone

(909) 732-1161

Specialties & licenses 1

Addresses

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.

• Sanjoy Banerjee, M.D.

  • Anesthesiology Physician
  • Corona, CA
  • NPI 1295773422
  NPD (past) Authorized official

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1386064624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36243 INLAND VALLEY DR",
            "address_2": "STE 10",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959549",
            "telephone_number": "951-735-7246",
            "fax_number": "951-268-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36243 INLAND VALLEY DR",
            "address_2": "STE 10",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959549",
            "telephone_number": "951-735-7246",
            "fax_number": "951-268-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER IMPERIAL SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "BANERJEE",
        "authorized_official_first_name": "SANJOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-732-1161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Junhn Roan, MD
• Leslie Roberts
• Ashlynn Robinson
• Cierra Robinson
• Tanisha Robinson
• Genevieve Rock
• Amir A Rodriguez Valdovinos
• Hilary Rodriguez Vivas
• Bryan Rodriguez
• Carla Rodriguez

• Ambulatory Surgical Clinic/Center in Wildomar, CA
• Providers in Wildomar, 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 Jun 19, 2014; 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.