NORCAL ORTHOPEDIC SURGERY CENTER LLC NPI 1447788120

NPI Information

NPI: 1447788120
Provider Name: NORCAL ORTHOPEDIC SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2276198

Address:
100 PARK PL # 110
SAN RAMON, CA
ZIP 94583
Phone: (925) 413-0407
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NORCAL ORTHOPEDIC SURGERY CENTER, LLC is an ambulatory surgical clinic center in San Ramon, CA. NORCAL ORTHOPEDIC SURGERY CENTER, LLC NPI is 1447788120. The provider is registered as an organization entity type.

The provider's business location address is:

100 PARK PL # 110
SAN RAMON, CA
ZIP 94583-460
Phone: (925) 413-0407

The provider's authorized official is Jennifer Boyd Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5954.

The CLIA number assigned to this NPI record is 05D2276198 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2017 and was last updated on 9/21/2023.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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: 5/5/2024

NPI Synchronization or Removal

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