ADVANCED SURGERY INSTITUTE LLC NPI 1063646594

NPI Information

  • NPI: 1063646594
  • Provider Name: ADVANCED SURGERY INSTITUTE, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 1739 4TH ST
    SANTA ROSA, CA
    ZIP 95404
  • Phone: (707) 396-0138

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NPI Details

ADVANCED SURGERY INSTITUTE, LLC is an ambulatory surgical clinic center in Santa Rosa, CA. ADVANCED SURGERY INSTITUTE, LLC NPI is 1063646594. The provider is registered as an organization entity type.

The provider's business location address is:

1739 4TH ST
SANTA ROSA, CA
ZIP 95404-601
Phone: (707) 396-0138
Fax: (707) 538-8299

The provider's authorized official is Jeff Simmons .
The authorized official title is Board Member and has the following contact phone number (707) 538-8299.

The enumeration date for this NPI number is 5/12/2009 and was last updated on 5/12/2009.

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 SurgicalCALIFORNIAYes

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: 11/21/2025

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