Paul Schrupp

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PAUL SCHRUPP

Doing business as

Integrated Surgery Center 107 LLC

Practice address

15525 Pomerado Rd Ste E6
Poway, CA 92064-2427

Phone

(858) 451-2280

Fax

(858) 451-2006

NPI assigned

Mar 1, 2012

Last updated

Mar 1, 2012By 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

Mr. Paul Schrupp

Title

Ceo

Phone

(858) 451-2280

Specialties & licenses 1

Addresses

Other names 1

• INTEGRATED SURGERY CENTER 107 LLC Doing business as

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1528332087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD STE E6",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642427",
            "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 STE E6",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642427",
            "telephone_number": "858-451-2280",
            "fax_number": "858-451-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL SCHRUPP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "SCHRUPP",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-451-2280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRATED SURGERY CENTER 107 LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarju Bhaskerrao Patel, D.D.S
• Patrick J. Fitzgerald, M.D., Inc.
• Timickea Patrick
• Paul C Milling M D a Professional Corporation
• Paul Neustein MD Inc
• Trevor Jonathan Paul, LMFT
• Michelle Marie Paulsen, LMFT
• Shabnam Pedram, MS, DDS
• Martha Pena Martinez
• Lorelei Pena Tempelton, DOULA

• Ambulatory Surgical Clinic/Center in Poway, CA
• Providers in Poway, 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 1, 2012; 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.