INLAND VALLEY SURGICAL CENTER – NPI #1356356133
Clinic/Center

INLAND VALLEY SURGICAL CENTER is an AHC clinic located in POWAY, CA. NPPES has assigned the NPI number 1356356133 to INLAND VALLEY SURGICAL CENTER on July 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is NISSANOFF SURGICAL CENTER. 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 18 years ago on Jul 24, 2008. 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 INLAND VALLEY SURGICAL CENTER below.

NPI Profile for
INLAND VALLEY SURGICAL CENTER

NPI Number
1356356133
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
INLAND VALLEY SURGICAL CENTER
Former Legal Business Name: NISSANOFF SURGICAL CENTER
Primary location
15525 POMERADO RD., SUITE E6
POWAY, CA 92064
Phone: (858) 451-2280 Fax: (858) 451-2006
Mailing address
PO BOX 502530
SAN DIEGO, CA 92150-2530
Phone: (858) 451-2280 Fax: (858) 451-2006
Organization Subpart
No
Authorized Official
JONATHAN NISSANOFF
CEO/OWNER
Phone: (858) 451-2280
Updated
Identifiers

Identifiers for INLAND VALLEY SURGICAL CENTER

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
OTHERAAAHCCA23424
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.