SPECIALTY CARE AND SURGERY CENTER
NPI 1073648630
Obstetrics & Gynecology - Gynecology in Kelseyville, CA
- Organization
- Obstetrics & Gynecology
- Gynecology
- CLIA Number: 05D0871354
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-01-2027
About SPECIALTY CARE AND SURGERY CENTER
This page provides the complete NPI Profile along with additional information for Specialty Care And Surgery Center, a women's health care provider established in Kelseyville, California operating as a Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1073648630 assigned on February 2007. The practitioner's primary taxonomy code is 207VG0400X with license number G6256 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Paula R Dhanda Md (Physician)
- NPI
- 1073648630 Verify this NPI
- Provider Name
- SPECIALTY CARE AND SURGERY CENTER
- Entity Type
- Organization
- Location Address
- 5685 MAIN ST KELSEYVILLE, CA 95451
- Location Phone
- (707) 279-8733
- Location Fax
- (707) 279-8731
- Mailing Address
- 5685 MAIN ST KELSEYVILLE, CA 95451
- Mailing Phone
- (707) 279-8733
- Mailing Fax
- (707) 279-8731
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-23-2007
- Last Update Date
- 07-08-2015
- Code Navigator
Women's health care providers like Specialty Care And Surgery Center treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Gynecology
- Taxonomy Code
- 207VG0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G6256
- License State
- CA
- Taxonomy Description
- A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G625260 | MEDICAID (05) | CA | |
| E04677 | MEDICARE UPIN (02) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0871354
- Facility Type
- Physician Office
- Certificate Effective Date
- June 02, 2025
- Certificate Expiration Date
- June 01, 2027
- Laboratory Director
- PAULA R. DHANDA
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Specialty Care And Surgery Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for SPECIALTY CARE AND SURGERY CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
KELSEYVILLE, CA 95451
KELSEYVILLE, CA 95451
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073648630, enumerated as an "organization" on February 23, 2007.
The provider is located at 5685 MAIN ST KELSEYVILLE, CA 95451 and the phone number is (707) 279-8733.
Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
