Healthcare Provider Details

I. General information

NPI: 1114399656
Provider Name (Legal Business Name): ENCOMPASS PROCEDURE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2015
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7051 ALVARADO RD # 100
LA MESA CA
91942-8901
US

IV. Provider business mailing address

7051 ALVARADO RD # 100
LA MESA CA
91942-8901
US

V. Phone/Fax

Practice location:
  • Phone: 619-241-4063
  • Fax:
Mailing address:
  • Phone: 619-241-4063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: SHELBY CHIEN
Title or Position: OWNER
Credential: MD
Phone: 619-713-6219