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SPECIALTY CARE AND SURGERY CENTER
NPI 1073648630
Obstetrics & Gynecology - Gynecology in Kelseyville, CA

Active since February 23, 2007CLIA 05D0871354 · Microscopy
5685 MAIN ST, KELSEYVILLE, CA 95451(707) 279-8733(707) 279-8731 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Specialty Care And Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECIALTY CARE AND SURGERY CENTER (NPI 1073648630) is a healthcare organization registered as a gynecology in Kelseyville, California and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through June 1, 2027 and lists Paula R Dhanda, Physician, as its authorized official.

NPPES Registry Identity

NPI1073648630
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameSPECIALTY CARE AND SURGERY CENTER
Location Address5685 MAIN STKelseyville, CA 95451-8945
Mailing Address5685 Main StKelseyville, CA 95451-8945 · (707) 279-8733 · Fax (707) 279-8731
Phone(707) 279-8733
Fax(707) 279-8731
Organization SubpartNo
Authorized OfficialPaula R DhandaPhysician · (707) 279-8733
Enumeration DateFebruary 23, 2007
Last NPPES UpdateJuly 8, 2015
✔ NPI 1073648630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in CA · G6256
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
5685 MAIN ST, Kelseyville, CA 95451
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Other Identifiers 2

Medicaid00G625260CA
Medicare UPINE04677CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Specialty Care And Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Specialty Care And Surgery Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Paula Dhanda
Obstetrics/Gynecology
NPI 1316972425
5685 MAIN STREET
Kelseyville, CA 95451
(707) 263-8733
✔ PECOS✔ Accepts MedicareSame address
Lorena Watson, FNP
Nurse Practitioner
NPI 1942558721
925 BEVINS COURT
Lakeport, CA 95453
(707) 263-8383
✔ PECOS6.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0871354

Specialty Care And Surgery Center · Kelseyville, CA
Active · expires Jun 1, 2027
CLIA Number05D0871354
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorPaula R. Dhanda
Laboratory Phone(707) 279-8733
Laboratory LocationSpecialty Care And Surgery Center5685 Main Street, Kelseyville, CA 95451
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Specialty Care And Surgery Center's NPI number?

The NPI number for Specialty Care And Surgery Center is 1073648630. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Specialty Care And Surgery Center located?

Specialty Care And Surgery Center is located at 5685 Main St, Kelseyville, CA 95451. The listed phone number is (707) 279-8733.

What is Specialty Care And Surgery Center's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Specialty Care And Surgery Center enrolled in Medicare?

Yes. Specialty Care And Surgery Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialty Care And Surgery Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Specialty Care And Surgery Center, in Nurse Practitioner and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Specialty Care And Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0871354) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Specialty Care And Surgery Center was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.