Millcreek Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1200629 Issued in CA

Legal business name

MILLCREEK AMBULATORY SURGERY CENTER

Practice address

2822 W Main St
Visalia, CA 93291-4331

Phone

(559) 625-4119

Fax

(559) 625-9941

NPI assigned

Jan 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michael B Stevens, M.D., PH.D.NPI 1457476079

Title

Owner

Phone

(559) 625-8636

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Bruce Stevens, MD, PHD

  • Plastic Surgery Physician
  • Visalia, CA
  • NPI 1457476079
  NPD Authorized official
• Grant P. Williams, M.D.

  • Interventional Pain Medicine Physician
  • Glendale, CA
  • NPI 1013055128
  NPD (past)

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1770906141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914331",
            "telephone_number": "559-625-4119",
            "fax_number": "559-625-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914331",
            "telephone_number": "559-625-4119",
            "fax_number": "559-625-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLCREEK AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-625-8636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "1200629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Andrew Mihalcin, D.O.
• Ryan Milan
• Milestone Pediatrics Medical, P.C.
• Milestone Pediatrics, Inc.
• Caroline Millar, M.D.
• Ann Shen Miller, MPT
• Eerais Miller, FNP-BC, NP-C
• Heather Brooke Miller, PHARM.D.
• Lisa Alison Miller, PH.D.
• Loriann Miller

• Ambulatory Surgical Clinic/Center in Visalia, CA
• Providers in Visalia, 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 Jan 21, 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.