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EVERGREEN SURGICAL CENTER, LLC
NPI 1497171342
Clinic/Center - Ambulatory Surgical in San Diego, CA

Active since March 14, 2014
3434 MIDWAY DR, SUITE 1008, SAN DIEGO, CA 92110(619) 221-0146(619) 225-9675 Get Directions Write a Review

NPPES record last updated: March 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Surgical Center, Llc NPPES

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

EVERGREEN SURGICAL CENTER, LLC (NPI 1497171342) is a healthcare organization registered as an ambulatory surgical in San Diego, California and active in the NPI registry since March 2014. The organization lists Maureen Jaroscak, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1497171342
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEVERGREEN SURGICAL CENTER, LLC
Location Address3434 MIDWAY DR, SUITE 1008San Diego, CA 92110-4923
Mailing Address9461 Charleville Blvd, Suite 476Beverly Hills, CA 90212-3017 · (424) 279-9481 · Fax (424) 279-9482
Phone(619) 221-0146
Fax(619) 225-9675
Organization SubpartNo
Authorized OfficialMaureen JaroscakChief Financial Officer · (424) 279-9481
Enumeration DateMarch 14, 2014
✔ NPI 1497171342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3434 MIDWAY DR, San Diego, CA 92110
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT W CURRAN M.D.
Emergency Medicine
3434 MIDWAY DR, STE 1002
SAN DIEGO, CA 92110
San Diego County (619) 225-6200
RICHARD C. RICHLEY M.D. INC
Specialist
3434 MIDWAY DR, SUITE 2001
SAN DIEGO, CA 92110
San Diego County (619) 226-8871
KELSEY QUINN GAFFNEY DPT
Physical Therapist
3434 MIDWAY DR, SUITE 2005A
SAN DIEGO, CA 92110
San Diego County (619) 501-2195
SAN DIEGO GASTROENTEROLOGY LLC
Specialist
3434 MIDWAY DR, SUITE 1008
SAN DIEGO, CA 92110
San Diego County (310) 273-8885
DR. TIMOTHY L CANNIS M.D.
Emergency Medicine
3434 MIDWAY DR, STE 1002
SAN DIEGO, CA 92110
San Diego County (619) 225-6200
ZIHENG WANG
Behavior Analyst
3434 MIDWAY DR
SAN DIEGO, CA 92110
San Diego County (619) 255-1497
SAN DIEGO SURGERY LLC
Specialist
3434 MIDWAY DR, 1008
SAN DIEGO, CA 92110
San Diego County (310) 273-8885
DR. RICHARD F PRINCE M.D.
Emergency Medicine
3434 MIDWAY DR, STE 1002
SAN DIEGO, CA 92110
San Diego County (619) 225-6200

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 Evergreen Surgical Center, LLC's NPI number?

The NPI number for Evergreen Surgical Center, LLC is 1497171342. It was assigned to this organization in the NPPES registry on March 14, 2014.

Where is Evergreen Surgical Center, LLC located?

Evergreen Surgical Center, LLC is located at 3434 Midway Dr Suite 1008, San Diego, CA 92110. The listed phone number is (619) 221-0146.

What is Evergreen Surgical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Evergreen Surgical Center, LLC was last updated on March 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.