RENAISSANCE SURGERY CENTER LLC NPI 1013068642

NPI Information

  • NPI: 1013068642
  • Provider Name: RENAISSANCE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D1067396
  • Address: 2365 E FIR AVE
    FRESNO, CA
    ZIP 93720
  • Phone: (559) 797-9100

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NPI Details

RENAISSANCE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Fresno, CA. RENAISSANCE SURGERY CENTER, LLC NPI is 1013068642. The provider is registered as an organization entity type.

The provider's business location address is:

2365 E FIR AVE
FRESNO, CA
ZIP 93720-016
Phone: (559) 797-9100
Fax: (559) 797-9103

The provider's authorized official is Eric Boon .
The authorized official title is Officer / Authorized Official and has the following contact phone number (480) 567-0269.

The CLIA number assigned to this NPI record is 05D1067396 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)

The enumeration date for this NPI number is 1/12/2007 and was last updated on 12/4/2024.

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
1261QA1903XClinic/CenterAmbulatory Surgical550000544CALIFORNIAYes

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: 3/30/2025

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