MEDICARE: ESSE CARE SURGERY CALIFORNIA PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1114870227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSE CARE SURGERY CALIFORNIA PC

Provider Business Mailing Address
First Line	:	204 CORLIES AVE
Second Line	:
City	:	PELHAM
State	:	NY
Zip	:	10803-1904
Country	:	US
Telephone Number	:	914-546-3461
Fax Number	:	646-846-2310

Provider Business Practice Location Address
First Line	:	4640 ADMIRALTY WAY
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-6621
Country	:	US
Telephone Number	:	914-546-3461
Fax Number	:	646-846-2310

Authorized Official
Title or Position	:	VP
Name	:	BRANDON PROVOST
Credential	:
Telephone Number	:	914-546-3461

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

Similar Medicare Providers

1972503431 — DR. ANTHONY JOSEPH ZOPPI M.D.
Practice Location Address:

4644 LINCOLN BLVD , STE #101
MARINA DEL REY, CA
90292-6621

Practice Phone: 310-577-8500
Practice Fax: 310-305-7119

1841224177 — FARHAD SIGARI MD
Practice Location Address:

4640 ADMIRALTY WAY , SUITE 718
MARINA DEL REY, CA
90292-6621

Practice Phone: 310-823-4444
Practice Fax: 310-363-7085

1386654721 — MS. WENDY J. SALZ MFT
Practice Location Address:

4640 ADMIRALTY WAY , SUITE 318
MARINA DEL REY, CA
90292-6621

Practice Phone: 310-822-0109
Practice Fax: 310-822-1240

1700979390 — WESTERN DIAGNOSTIC & THERAPEUTIC RADIOLOGY MEDICAL GROUP, INC.
Practice Location Address:

4640 ADMIRALTY WAY , SUITE 102
MARINA DEL REY, CA
90292-6621

Practice Phone: 310-836-1574
Practice Fax: 310-836-6925

1528153665 — WESTERN IMAGING, MARINA DEL REY
Practice Location Address:

4640 ADMIRALTY WAY , SUITE 102
MARINA DEL REY, CA
90292-6621

Practice Phone: 310-836-4700
Practice Fax: 310-836-6925

1285789834 — DR. LAURA A THOMPSON M.D.
Practice Location Address:

4640 ADMIRALTY WAY , SUITE 102
MARINA DEL REY, CA
90292-6621

Practice Phone: 310-836-1574
Practice Fax: 310-836-6925

Directions to “ESSE CARE SURGERY CALIFORNIA PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.