Table: licensed_and_certified_healthcare_facility_locations , ao_name like I*

A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  *

licensed_certified flag t18_19 facid fac_status_type_code aspen_facid ccn terminat_sw participation_date approval_date npi can_be_deemed_fac_type can_be_certified_fac_type deemed ao_cd dmg_efctv_dt ao_trmntn_dt ao_name facname fac_type_code fac_fdr ltc capacity address city zip zip9 facadmin contact_email contact_fax contact_phone_number county_code county_name district_number district_name isfacmain parent_facid fac_fac_relationship_type_code start_date license_number business_name license_status_description initial_license_date license_effective_date license_expiration_date entity_type_description latitude longitude location hcai_id cclho_code cclho_name fips_county_code birthing_facility_flag trauma_ped_ctr trauma_ctr type_of_care critical_access_hospital data_date
CERTIFIED ONLY None None 030000321 OPEN CA030000321 55C0001040 None 11/05/1986 03/13/2019 1699711556 Y Y 1 20 12/19/2018 None IMQ EYE SURGERY CENTER OF NORTHERN CALIFORNIA ASC SURGICAL CLINIC NON-LTC 0 1386 LEAD HILL BLVD, SUITE 130 ROSEVILLE 95661 2936 PULIDO, LISA None (916) 723-4449 (916) 723-7400 410 PLACER 03 SACRAMENTO Y None PARENT None 030000363 None INACTIVE - CAPEN DECISION 10/18/1988 04/01/2008 03/31/2009 None 38.74844701 -121.258938 (-121.258938,38.748447014) 306344023 31 PLACER 06061 None None None None None 06/15/2025
CERTIFIED ONLY None None 030001777 OPEN CA03001777 05C0001560 None 09/05/2002 04/12/2018 1316192826 Y Y 1 20 07/24/2017 None IMQ EL DORADO SURGERY CENTER ASC SURGICAL CLINIC NON-LTC 0 4300 GOLDEN CENTER DRIVE, SUITE E PLACERVILLE 95667 6278 PERRY, ANN CLOCKWOOD@ELDORADOSURGERY.COM (530) 344-1561 (530) 344-1687 080 EL DORADO 03 SACRAMENTO Y None PARENT None 030000767 None INACTIVE - CAPEN DECISION 07/25/2002 06/25/2008 06/24/2009 None 38.706084 -120.82887 (-120.82887,38.706084) 306094021 09 EL DORADO 06017 None None None None None 06/15/2025
CERTIFIED ONLY None None 050001450 OPEN CA050001450 05C0001688 None 09/02/2004 03/13/2018 1912018706 Y Y 1 20 12/08/2017 None IMQ VENTURA SURGERY CENTER INC ASC SURGICAL CLINIC NON-LTC 0 1752 S VICTORIA AVE, SUITE A VENTURA 93003 6194 COX, JEFF A None None (805) 654-8115 660 VENTURA 05 VENTURA Y None PARENT None 050000587 VENTURA SURGERY CENTER INC INACTIVE - CAPEN DECISION 06/14/2004 06/14/2007 06/13/2008 PROFIT CORP 34.259544 -119.208501 (-119.208501,34.259544) 306564128 56 VENTURA 06111 None None None None None 06/15/2025
CERTIFIED ONLY None None 070001291 OPEN CA070001291 05C0001530 None 11/30/2001 04/10/2019 1235155730 Y Y 1 20 02/24/2019 None IMQ MONTPELIER SURGERY CENTER ASC SURGICAL CLINIC NON-LTC 0 2340 MONTPELIER DR, SUITE B SAN JOSE 95116 1622 NGUYEN, MICHELLE MAI_NGUYEN@SJGC.COM (408) 347-9004 (408) 347-1875 530 SANTA CLARA 07 SAN JOSE Y None PARENT None 070000612 None INACTIVE - CAPEN DECISION 10/25/2001 11/25/2007 11/24/2008 None 37.364841 -121.847661 (-121.847661,37.364841) 306434147 43 SANTA CLARA 06085 None None None None None 06/15/2025
CERTIFIED ONLY None None 240001306 OPEN CA240001306 05C0001289 None 05/18/1994 06/06/2018 1821141441 Y Y 1 20 03/14/2018 None IMQ MOUNTAIN VIEW SURGERY CENTER AND MEDICAL CLINIC ASC SURGICAL CLINIC NON-LTC 0 10408 INDUSTRIAL CIR REDLANDS 92374 4548 SPENCER, ELIZABETH MTVIEWSURGERYCTR@AOL.COM (909) 796-0023 (909) 796-7803 460 SAN BERNARDINO 24 SAN BERNARDINO Y None PARENT None 240000549 INLAND ENDOSCOPY CENTER, INC. INACTIVE - CAPEN DECISION 05/18/1994 04/01/2008 03/31/2009 PROFIT CORP 34.064685 -117.2365335 (-117.2365335,34.064685) 306364140 36 SAN BERNARDINO 06071 None None None None None 06/15/2025
CERTIFIED ONLY None None 630014330 OPEN CA630014330 05C0002012 None 01/24/2013 12/26/2018 1851678981 Y Y 1 20 11/29/2018 None IMQ RIDGECREST SPECIALTY SURGERY CENTER ASC SURGICAL CLINIC NON-LTC 0 1200 N CHINA LAKE BLVD RIDGECREST 93555 2665 TAHERI, DANIEL P None (661) 266-8751 (760) 446-9007 140 KERN 12 BAKERSFIELD Y None PARENT None None None None None None None None 35.64187704 -117.6697631 (-117.6697631,35.641877039) None 15 KERN 06029 None None None None None 06/15/2025
CERTIFIED ONLY None None 630014906 OPEN CA6300014906 05C0002216 None 12/20/2018 None 1447539747 Y Y 0 20 12/20/2018 12/20/2021 IMQ WESTSIDE SURGICAL CENTER, LLC ASC SURGICAL CLINIC NON-LTC 0 9700 BRIMHALL RD BAKERSFIELD 93312 2777 None RNDIRECTOR@TEI2020.NET (661) 829-8657 (661) 588-5400 140 KERN 12 BAKERSFIELD Y None PARENT None None None None None None None None 35.369145 -119.1107745 (-119.1107745,35.369145) None 15 KERN 06029 None None None None None 06/15/2025
CERTIFIED ONLY None None 630016156 OPEN CA630016156 05C0002078 None 04/08/2015 08/02/2018 1982954640 Y Y 1 20 03/13/2018 None IMQ BAKERSFIELD SPECIALTY SURGERY CENTER, PC ASC SURGICAL CLINIC NON-LTC 0 5600 CALIFORNIA AVENUE, SUITE 102 BAKERSFIELD 93309 None TAHERI, DANIEL P MICHELLES@LALASERCENTER.COM None (661) 322-2700 140 KERN 12 BAKERSFIELD Y None PARENT None None None None None None None None 35.356212 -119.061783 (-119.061783,35.356212) None 15 KERN 06029 None None None None None 06/15/2025
CERTIFIED ONLY None None 630016290 OPEN CA630016290 05C0002083 None 04/03/2015 11/07/2018 1609108083 Y Y 0 20 10/09/2018 04/29/2021 IMQ GENESIS AMBULATORY SURGERY CENTER INC. ASC SURGICAL CLINIC NON-LTC 0 26781 PORTOLA PKWY, SUITE 4E FOOTHILL RANCH 92610 None None None None None 400 ORANGE 06 ORANGE Y None PARENT None None None None None None None None 33.679269 -117.6619635 (-117.6619635,33.679269) None 30 ORANGE 06059 None None None None None 06/15/2025
CERTIFIED ONLY None None 630017578 OPEN 630017578 05C0002165 None 08/16/2017 03/06/2018 1114399656 Y Y 1 20 08/16/2017 None IMQ ENCOMPASS SURGERY CENTER ASC SURGICAL CLINIC NON-LTC 0 7051 ALVARADO RD, SUITE 100 LA MESA 91942 8901 LAJVARDI, ROBERT LARA.ENCOMPASS@GMAIL.COM (619) 639-8211 (619) 713-6219 470 SAN DIEGO 10 SAN DIEGO Y None PARENT None None None None None None None None 32.772834 -117.045819 (-117.045819,32.772834) None 37 SAN DIEGO 06073 None None None None None 06/15/2025
CERTIFIED ONLY None None 630017706 OPEN 630017706 05C0002159 None 12/05/2017 01/05/2018 1467999813 Y Y 1 20 12/05/2017 None IMQ WEBSTER OUTPATIENT SURGERY CENTER, LLC ASC SURGICAL CLINIC NON-LTC 0 200 PORTER DR, SUITE 100 SAN RAMON 94583 None NORCROSS, PATRICIA JOHNWESLEY.WILLIAMSON@HKLAW.COM None (615) 850-8548 060 CONTRA COSTA 02 EAST BAY Y None PARENT None None None None None None None None 37.773819 -121.990446 (-121.990446,37.773819) None 07 CONTRA COSTA 06013 None None None None None 06/15/2025
CERTIFIED ONLY None None 630017763 OPEN CA630017763 05C0002189 None 03/12/2018 12/14/2018 1487197943 Y Y 1 20 03/12/2018 None IMQ COAST CITIES SURGERY CENTER, INC. ASC SURGICAL CLINIC NON-LTC 0 2802 PACIFIC COAST HWY TORRANCE 90505 None None None (310) 274-5380 (310) 325-1644 200 LOS ANGELES 93 LA ACUTE/ANCILLARY Y None PARENT None None None None None None None None 33.793902 -118.336122 (-118.336122,33.793902) None 19 LOS ANGELES 06037 None None None None None 06/15/2025
CERTIFIED ONLY None None 630017771 OPEN CA6930017771 05C0002175 None 04/23/2018 08/02/2018 1659807717 Y Y 0 20 04/23/2018 01/21/2022 IMQ TAMPA SURGICAL CENTER ASC SURGICAL CLINIC NON-LTC 0 7640 TAMPA AVE, SUITE 102 RESEDA 91335 1700 POLOSAJIAN, LEO JAN@CRSMDINC.COM (818) 343-1612 (818) 718-1600 200 LOS ANGELES 93 LA ACUTE/ANCILLARY Y None PARENT None None None None None None None None 34.209522 -118.552896 (-118.552896,34.209522) None 19 LOS ANGELES 06037 None None None None None 06/15/2025
CERTIFIED ONLY None None 630017836 OPEN CA630017836 05C0002229 None 11/08/2019 04/07/2020 1255846762 Y Y 1 20 11/08/2019 None IMQ APEX AMBULATORY SURGERY CENTER, LLC ASC SURGICAL CLINIC NON-LTC 0 1241 E HILLSDALE BLVD, SUITE 210 FOSTER CITY 94404 None REYZELMAN, ROZANA None (650) 539-0876 (650) 389-9383 510 SAN MATEO 22 SAN FRANCISCO Y None PARENT None None None None None None None None 37.567962 -122.267574 (-122.267574,37.567962) None 41 SAN MATEO 06081 None None None None None 06/15/2025
CERTIFIED ONLY None None 630017861 OPEN CA630017861 05C0002181 None 07/16/2018 09/28/2018 1568814010 Y Y 1 20 07/16/2018 None IMQ SURGERY CENTER OF CALIFORNIA ASC SURGICAL CLINIC NON-LTC 0 835 3RD AVE, SUITE C CHULA VISTA 91911 None MANI, NASRIN None (619) 425-4763 (619) 425-4209 470 SAN DIEGO 10 SAN DIEGO Y None PARENT None None None None None None None None 32.623155 -117.071667 (-117.071667,32.623155) None 37 SAN DIEGO 06073 None None None None None 06/15/2025
CERTIFIED ONLY None None 630017862 OPEN 630017862 05C0002191 None 11/06/2018 12/14/2018 1659885325 Y Y 1 20 11/06/2018 None IMQ GOLDEN SPRINGS SURGICAL CENTER ASC SURGICAL CLINIC NON-LTC 0 67555 E PALM CANYON DR, SUITE F117 - F118 CATHEDRAL CITY 92234 5467 None ASC@SUMMIT-INSTITUTE.COM (949) 783-3602 (949) 783-3600 430 RIVERSIDE 25 RIVERSIDE Y None PARENT None None None None None None None None 33.78798 -116.48259 (-116.48259,33.78798) None 33 RIVERSIDE 06065 None None None None None 06/15/2025
CERTIFIED ONLY None None 630017915 OPEN CA630017915 05C0002218 None 08/09/2019 11/22/2019 1558802249 Y Y 1 20 08/09/2019 None IMQ SOURCE SURGERY CENTER, LLC ASC SURGICAL CLINIC NON-LTC 0 2801 WILSHIRE BLVD SANTA MONICA 90403 4801 None TTDAVIS23@GMAIL.COM (310) 315-4967 (310) 574-2777 200 LOS ANGELES 93 LA ACUTE/ANCILLARY Y None PARENT None None None None None None None None 34.03762158 -118.475571 (-118.475571,34.037621584) None 19 LOS ANGELES 06037 None None None None None 06/15/2025
CERTIFIED ONLY None None 630018436 OPEN CA630018436 05C0002231 None 10/16/2019 04/27/2020 1114400280 Y Y 1 20 10/16/2019 None IMQ ALMA AT ADDISON SURGERY CENTER, LLC ASC SURGICAL CLINIC NON-LTC 0 105 ADDISON AVE PALO ALTO 94301 None None JEANNIE@FORTHEFACE.COM None (650) 327-3232 530 SANTA CLARA 07 SAN JOSE Y None PARENT None None None None None None None None 37.43966038 -122.1577732 (-122.1577732,37.439660376) None 43 SANTA CLARA 06085 None None None None None 06/15/2025
CERTIFIED ONLY None None 630018489 OPEN 630018489 05C0002198 None 12/13/2018 01/11/2019 1427585280 Y Y 1 20 12/13/2018 None IMQ PINNACLE SURGERY CENTER, LLC ASC SURGICAL CLINIC NON-LTC 0 100 N WIGET LN, ROOM 140 WALNUT CREEK 94598 None ACEVES, IRIS None None None 060 CONTRA COSTA 02 EAST BAY Y None PARENT None None None None None None None None 37.925235 -122.023251 (-122.023251,37.925235) None 07 CONTRA COSTA 06013 None None None None None 06/15/2025
CERTIFIED ONLY None None 630018839 OPEN 630018839 05C0002235 None 09/19/2019 05/28/2020 1851647549 Y Y 1 20 09/19/2019 None IMQ CALIFORNIA SURGICAL SPECIALTY GROUP, INC. ASC SURGICAL CLINIC NON-LTC 0 17114 DEVONSHIRE ST, SUITE 100 NORTHRIDGE 91325 1619 None None None None 200 LOS ANGELES 93 LA ACUTE/ANCILLARY Y None PARENT None None None None None None None None 34.25724 -118.506033 (-118.506033,34.25724) None 19 LOS ANGELES 06037 None None None None None 06/15/2025
CERTIFIED ONLY None None 930000792 OPEN CA930000792 05C0001132 None 09/29/1988 10/15/2019 1609104900 Y Y 1 20 05/26/2017 None IMQ TOWER WOUND CARE CENTER OF SANTA MONICA ASC SURGICAL CLINIC NON-LTC 0 1301 20TH ST, SUITE 470 SANTA MONICA 90404 2090 GARCIA, NOEMI DRTHOMPSON@ANEWLOOK.COM (310) 828-8852 (310) 315-0222 200 LOS ANGELES 93 LA ACUTE/ANCILLARY Y None PARENT None 930000639 PACIFIC SURGICENTER, INC. INACTIVE - CAPEN DECISION 12/03/1991 12/03/2006 12/02/2007 PROFIT CORP 34.029981 -118.480995 (-118.480995,34.029981) 306194275 19 LOS ANGELES 06037 None None None None None 06/15/2025