SOUTH PLACER SURGERY CENTER LP (NPI# 1467451096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467451096 |
| Entity Type | Organization |
| Organization Name | SOUTH PLACER SURGERY CENTER LP |
| Other Organization Name | SUTTER SIERRA SURGERY CENTER |
| Practice Address |
8 Medical Plaza Drive Suite 100 Roseville CA 95661-2185 |
| Practice Telephone | 9166775070 |
| Practice Fax Number | 9166775071 |
| Mailing Telephone | 9165775070 |
| Mailing Fax Number | 9165775071 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | WILLIAM D DAVIS (CEO, SSCD) |
| Authorized Official Telephone | 9165664770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
03000772 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| US DEPT OF LABOR | 220182400 | 01 | |
| BLUE CROSS | AS1608 | 01 | |
| CA | SUR01608F | 05 | |
| CA | BLUE SHIELD | ZZZH3100Z | 01 |
| Other Name | Type Code |
|---|---|
| Sutter Sierra Surgery Center | Doing Business As Name - Organization |
| Street Address |
8 MEDICAL PLAZA DRIVE SUITE 100 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-2185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245774611 | Granite Bay Surgery Center, LLC | Clinic/Center | 8723 Sierra College Blvd #1, Roseville, CA 95661 | 2016-12-05 |
| 1689695314 | Lee Institute of Plastic Surgery | Clinic/Center | 5 Medical Plaza Drive, Suite 210, Roseville, CA 95661 | 2006-07-21 |
| 1982672283 | Roseville Surgery Center, Lp | Clinic/Center | 1420 E Roseville Pkwy, Ste 100, Roseville, CA 95661-3078 | 2006-03-10 |
| 1144482092 | Roseville Surgical Alliance Surgery Center, Inc. | Clinic/Center | 5 Medical Plaza Drive, Suite 120, Roseville, CA 95661 | 2008-07-01 |
| 1144497264 | California Skin Surgery Center Inc | Clinic/Center | 9269 Sierra College Blvd, Roseville, CA 95661 | 2008-05-08 |
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| 1811501661 | Precision Surgical Arts | Clinic/Center | 20311 Sw Birch St Ste 201, Newport Beach, CA 92660-1777 | 2020-08-31 |
| 1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
| 1740891571 | Peninsula Surgery Center, LLC | Clinic/Center | 350 Marine Pkwy Ste 100, Redwood City, CA 94065-5224 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.