EYE LIFE INSTITUE ASC – NPI #1073536215
Clinic/Center

EYE LIFE INSTITUE ASC is an AHC clinic located in PARADISE, CA. NPPES has assigned the NPI number 1073536215 to EYE LIFE INSTITUE ASC on July 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EYE LIFE INSTITUE ASC” is a dba name, the actual legal business name for this organization is DAVID J GAJDA, MD, A PROFESSIONAL CORPORATION. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 13 years ago on Jan 22, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EYE LIFE INSTITUE ASC below.

NPI Profile for
DAVID J GAJDA, MD, A PROFESSIONAL CORPORATION

NPI Number
1073536215
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DAVID J GAJDA, MD, A PROFESSIONAL CORPORATION
Doing Business As (dba): EYE LIFE INSTITUE ASC
Primary location
6283 CLARK RD
#11
PARADISE, CA 95969-4100
Phone: (530) 877-2020 Fax: (530) 877-4641
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID GAJDA
OWNER/PRESIDENT
Phone: (530) 877-2020
Updated
Identifiers

Identifiers for EYE LIFE INSTITUE ASC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSSCAZZZ51128Z
OTHERBLUE SHIELDCAZZZ51128Z
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.