SPECIALTY CARE AND SURGERY CENTER NPI 1073648630

NPI Information

  • NPI: 1073648630
  • Provider Name: SPECIALTY CARE AND SURGERY CENTER
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Organization
  • Address: 5685 MAIN ST
    KELSEYVILLE, CA
    ZIP 95451
  • Phone: (707) 279-8733

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NPI Details

SPECIALTY CARE AND SURGERY CENTER is a gynecology obstetrics gynecology in Kelseyville, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee SPECIALTY CARE AND SURGERY CENTER NPI is 1073648630. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5685 MAIN ST
KELSEYVILLE, CA
ZIP 95451-945
Phone: (707) 279-8733
Fax: (707) 279-8731

The provider's authorized official is Paula R Dhanda .
The authorized official title is Physician and has the following contact phone number (707) 279-8733.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 7/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VG0400XObstetrics & GynecologyGynecologyG6256CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G625260MEDICAIDCALIFORNIA
2E04677MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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