Table: licensed_and_certified_healthcare_facility_locations , ao_name like I*

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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 030000321 OPEN CA030000321 55C0001040 11/05/1986 03/13/2019 1699711556 Y Y 1 20 12/19/2018 IMQ EYE SURGERY CENTER OF NORTHERN CALIFORNIA ASC SURGICAL CLINIC NON-LTC 0 1386 LEAD HILL BLVD, SUITE 130 ROSEVILLE 95661 2936 PULIDO, LISA (916) 723-4449 (916) 723-7400 410 PLACER 03 SACRAMENTO Y PARENT 030000363 INACTIVE - CAPEN DECISION 10/18/1988 04/01/2008 03/31/2009 38.74844701 -121.258938 (-121.258938,38.748447014) 306344023 31 PLACER 06061 09/19/2025
CERTIFIED ONLY 030001777 OPEN CA03001777 05C0001560 09/05/2002 04/12/2018 1316192826 Y Y 1 20 07/24/2017 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 PARENT 030000767 INACTIVE - CAPEN DECISION 07/25/2002 06/25/2008 06/24/2009 38.706084 -120.82887 (-120.82887,38.706084) 306094021 09 EL DORADO 06017 09/19/2025
CERTIFIED ONLY 050001450 OPEN CA050001450 05C0001688 09/02/2004 03/13/2018 1912018706 Y Y 1 20 12/08/2017 IMQ VENTURA SURGERY CENTER INC ASC SURGICAL CLINIC NON-LTC 0 1752 S VICTORIA AVE, SUITE A VENTURA 93003 6194 COX, JEFF A (805) 654-8115 660 VENTURA 05 VENTURA Y PARENT 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 09/19/2025
CERTIFIED ONLY 070001291 OPEN CA070001291 05C0001530 11/30/2001 04/10/2019 1235155730 Y Y 1 20 02/24/2019 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 PARENT 070000612 INACTIVE - CAPEN DECISION 10/25/2001 11/25/2007 11/24/2008 37.364841 -121.847661 (-121.847661,37.364841) 306434147 43 SANTA CLARA 06085 09/19/2025
CERTIFIED ONLY 240001306 OPEN CA240001306 05C0001289 05/18/1994 06/06/2018 1821141441 Y Y 1 20 03/14/2018 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 PARENT 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 09/19/2025
CERTIFIED ONLY 630014330 OPEN CA630014330 05C0002012 01/24/2013 12/26/2018 1851678981 Y Y 1 20 11/29/2018 IMQ RIDGECREST SPECIALTY SURGERY CENTER ASC SURGICAL CLINIC NON-LTC 0 1200 N CHINA LAKE BLVD RIDGECREST 93555 2665 TAHERI, DANIEL P (661) 266-8751 (760) 446-9007 140 KERN 12 BAKERSFIELD Y PARENT 35.64187704 -117.6697631 (-117.6697631,35.641877039) 15 KERN 06029 09/19/2025
CERTIFIED ONLY 630014906 OPEN CA6300014906 05C0002216 12/20/2018 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 RNDIRECTOR@TEI2020.NET (661) 829-8657 (661) 588-5400 140 KERN 12 BAKERSFIELD Y PARENT 35.369145 -119.1107745 (-119.1107745,35.369145) 15 KERN 06029 09/19/2025
CERTIFIED ONLY 630016156 OPEN CA630016156 05C0002078 04/08/2015 08/02/2018 1982954640 Y Y 1 20 03/13/2018 IMQ BAKERSFIELD SPECIALTY SURGERY CENTER, PC ASC SURGICAL CLINIC NON-LTC 0 5600 CALIFORNIA AVENUE, SUITE 102 BAKERSFIELD 93309 TAHERI, DANIEL P MICHELLES@LALASERCENTER.COM (661) 322-2700 140 KERN 12 BAKERSFIELD Y PARENT 35.356212 -119.061783 (-119.061783,35.356212) 15 KERN 06029 09/19/2025
CERTIFIED ONLY 630016290 OPEN CA630016290 05C0002083 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 400 ORANGE 06 ORANGE Y PARENT 33.679269 -117.6619635 (-117.6619635,33.679269) 30 ORANGE 06059 09/19/2025
CERTIFIED ONLY 630017578 OPEN 630017578 05C0002165 08/16/2017 03/06/2018 1114399656 Y Y 1 20 08/16/2017 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 PARENT 32.772834 -117.045819 (-117.045819,32.772834) 37 SAN DIEGO 06073 09/19/2025
CERTIFIED ONLY 630017706 OPEN 630017706 05C0002159 12/05/2017 01/05/2018 1467999813 Y Y 1 20 12/05/2017 IMQ WEBSTER OUTPATIENT SURGERY CENTER, LLC ASC SURGICAL CLINIC NON-LTC 0 200 PORTER DR, SUITE 100 SAN RAMON 94583 NORCROSS, PATRICIA JOHNWESLEY.WILLIAMSON@HKLAW.COM (615) 850-8548 060 CONTRA COSTA 02 EAST BAY Y PARENT 37.773819 -121.990446 (-121.990446,37.773819) 07 CONTRA COSTA 06013 09/19/2025
CERTIFIED ONLY 630017761 OPEN 630017761 05C0002240 09/16/2019 08/04/2020 1972055382 Y Y 1 20 09/16/2019 IMQ ALLIANCE SURGERY PARTNERS ASC SURGICAL CLINIC NON-LTC 0 1828 E CESAR CHAVEZ AVE, SUITE 6500 LOS ANGELES 90033 (323) 263-1277 (323) 263-6774 200 LOS ANGELES 93 LA ACUTE/ANCILLARY Y PARENT 34.049952 -118.215657 (-118.215657,34.049952) 19 LOS ANGELES 06037 09/19/2025
CERTIFIED ONLY 630017763 OPEN CA630017763 05C0002189 03/12/2018 12/14/2018 1487197943 Y Y 1 20 03/12/2018 IMQ COAST CITIES SURGERY CENTER, INC. ASC SURGICAL CLINIC NON-LTC 0 2802 PACIFIC COAST HWY TORRANCE 90505 (310) 274-5380 (310) 325-1644 200 LOS ANGELES 93 LA ACUTE/ANCILLARY Y PARENT 33.793902 -118.336122 (-118.336122,33.793902) 19 LOS ANGELES 06037 09/19/2025
CERTIFIED ONLY 630017771 OPEN CA6930017771 05C0002175 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 PARENT 34.209522 -118.552896 (-118.552896,34.209522) 19 LOS ANGELES 06037 09/19/2025
CERTIFIED ONLY 630017836 OPEN CA630017836 05C0002229 11/08/2019 04/07/2020 1255846762 Y Y 1 20 11/08/2019 IMQ APEX AMBULATORY SURGERY CENTER, LLC ASC SURGICAL CLINIC NON-LTC 0 1241 E HILLSDALE BLVD, SUITE 210 FOSTER CITY 94404 REYZELMAN, ROZANA (650) 539-0876 (650) 389-9383 510 SAN MATEO 22 SAN FRANCISCO Y PARENT 37.567962 -122.267574 (-122.267574,37.567962) 41 SAN MATEO 06081 09/19/2025
CERTIFIED ONLY 630017861 OPEN CA630017861 05C0002181 07/16/2018 09/28/2018 1568814010 Y Y 1 20 07/16/2018 IMQ SURGERY CENTER OF CALIFORNIA ASC SURGICAL CLINIC NON-LTC 0 835 3RD AVE, SUITE C CHULA VISTA 91911 MANI, NASRIN (619) 425-4763 (619) 425-4209 470 SAN DIEGO 10 SAN DIEGO Y PARENT 32.623155 -117.071667 (-117.071667,32.623155) 37 SAN DIEGO 06073 09/19/2025
CERTIFIED ONLY 630017862 OPEN 630017862 05C0002191 11/06/2018 12/14/2018 1659885325 Y Y 1 20 11/06/2018 IMQ GOLDEN SPRINGS SURGICAL CENTER ASC SURGICAL CLINIC NON-LTC 0 67555 E PALM CANYON DR, SUITE F117 - F118 CATHEDRAL CITY 92234 5467 ASC@SUMMIT-INSTITUTE.COM (949) 783-3602 (949) 783-3600 430 RIVERSIDE 25 RIVERSIDE Y PARENT 33.78798 -116.48259 (-116.48259,33.78798) 33 RIVERSIDE 06065 09/19/2025
CERTIFIED ONLY 630017915 OPEN CA630017915 05C0002218 08/09/2019 11/22/2019 1558802249 Y Y 1 20 08/09/2019 IMQ SOURCE SURGERY CENTER, LLC ASC SURGICAL CLINIC NON-LTC 0 2801 WILSHIRE BLVD SANTA MONICA 90403 4801 TTDAVIS23@GMAIL.COM (310) 315-4967 (310) 574-2777 200 LOS ANGELES 93 LA ACUTE/ANCILLARY Y PARENT 34.03762158 -118.475571 (-118.475571,34.037621584) 19 LOS ANGELES 06037 09/19/2025
CERTIFIED ONLY 630018436 OPEN CA630018436 05C0002231 10/16/2019 04/27/2020 1114400280 Y Y 1 20 10/16/2019 IMQ ALMA AT ADDISON SURGERY CENTER, LLC ASC SURGICAL CLINIC NON-LTC 0 105 ADDISON AVE PALO ALTO 94301 JEANNIE@FORTHEFACE.COM (650) 327-3232 530 SANTA CLARA 07 SAN JOSE Y PARENT 37.43966038 -122.1577732 (-122.1577732,37.439660376) 43 SANTA CLARA 06085 09/19/2025
CERTIFIED ONLY 630018489 OPEN 630018489 05C0002198 12/13/2018 01/11/2019 1427585280 Y Y 1 20 12/13/2018 IMQ PINNACLE SURGERY CENTER, LLC ASC SURGICAL CLINIC NON-LTC 0 100 N WIGET LN, ROOM 140 WALNUT CREEK 94598 ACEVES, IRIS 060 CONTRA COSTA 02 EAST BAY Y PARENT 37.925235 -122.023251 (-122.023251,37.925235) 07 CONTRA COSTA 06013 09/19/2025
CERTIFIED ONLY 630018839 OPEN 630018839 05C0002235 09/19/2019 05/28/2020 1851647549 Y Y 1 20 09/19/2019 IMQ CALIFORNIA SURGICAL SPECIALTY GROUP, INC. ASC SURGICAL CLINIC NON-LTC 0 17114 DEVONSHIRE ST, SUITE 100 NORTHRIDGE 91325 1619 200 LOS ANGELES 93 LA ACUTE/ANCILLARY Y PARENT 34.25724 -118.506033 (-118.506033,34.25724) 19 LOS ANGELES 06037 09/19/2025
CERTIFIED ONLY 630019336 OPEN 630019336 05C0002234 08/05/2019 05/27/2020 1558853234 Y Y 1 20 08/05/2019 IMQ BROADWAY LASER SURGICAL INSTITUTE ASC SURGICAL CLINIC NON-LTC 0 1100 E BROADWAY, SUITE 201 GLENDALE 91205 200 LOS ANGELES 93 LA ACUTE/ANCILLARY Y PARENT 34.146027 -118.241523 (-118.241523,34.146027) 19 LOS ANGELES 06037 09/19/2025
CERTIFIED ONLY 930000792 OPEN CA930000792 05C0001132 09/29/1988 10/15/2019 1609104900 Y Y 1 20 05/26/2017 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 PARENT 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 09/19/2025