Active NPI
Sierra Surgicenter
- Ambulatory Surgical Clinic/Center
- Walnut Creek, CA
National Provider Identifier
1053307454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SIERRA SURGICENTER
- Practice address
- 1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122 - Phone
- (925) 947-5276
- NPI assigned
- Sep 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deborah L Mack, R.N.
- Title
- Regional Vice President
- Phone
- (925) 947-5276
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | CA | Primary |
Addresses
Primary practice location
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Mailing address
PO Box 30335
Walnut Creek, CA 94598-9335
Phone (925) 947-5276
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053307454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30335",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945989335",
"telephone_number": "925-947-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 YGNACIO VALLEY RD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983122",
"telephone_number": "925-947-5276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIERRA SURGICENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MACK",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "REGIONAL VICE PRESIDENT",
"authorized_official_telephone_number": "925-947-5276",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.