Provider Type Icon

SOUTH PLACER SURGERY CENTER LP NPI 1467451096


NPI Information

NPI: 1467451096
Provider Name: SOUTH PLACER SURGERY CENTER LP

Doing Business As: SUTTER SIERRA SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1009072

Address:
8 MEDICAL PLAZA DRIVE
SUITE 100
ROSEVILLE, CA
ZIP 95661
Phone: (916) 677-5070
Get Directions

SOUTH PLACER SURGERY CENTER LP is an ambulatory surgical clinic center in Roseville, CA. SOUTH PLACER SURGERY CENTER LP NPI is 1467451096. The provider is registered as an organization entity type.
The provider Is Doing Business As Sutter Sierra Surgery Center.

The provider's business location address is:

8 MEDICAL PLAZA DRIVE
SUITE 100
ROSEVILLE, CA
ZIP 95661-185
Phone: (916) 677-5070
Fax: (916) 677-5071

The provider's authorized official is William D Davis .
The authorized official title is Ceo, Sscd and has the following contact phone number (916) 566-4770.

The CLIA number assigned to this NPI record is 05D1009072 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2005 and was last updated on 5/26/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical03000772CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AS1608OTHERBLUE CROSS
2220182400OTHERUS DEPT OF LABOR
3ZZZH3100ZOTHERCALIFORNIABLUE SHIELD
4ZZZ25450ZMEDICARE ID-TYPE UNSPECIFIED
5SUR01608FMEDICAIDCALIFORNIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.