Organization Active NPI

Rancho Cordova Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Rancho Cordova, CA
National Provider Identifier
1124439419
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
RANCHO CORDOVA SURGERY CENTER, LLC
Practice address
2893 Sunrise Blvd Ste 103
Rancho Cordova, CA 95742-6527
Phone
(916) 400-4038
Fax
(916) 400-4391
NPI assigned
May 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Romel E Velastegui, M.D.
Title
Manager/Member
Phone
(916) 400-4038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2893 Sunrise Blvd Ste 103
Rancho Cordova, CA 95742-6527

Mailing address

2893 Sunrise Blvd Ste 103
Rancho Cordova, CA 95742-6527
Phone (916) 400-4038

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2893 Sunrise Blvd
Ste 103
Rancho Cordova, CA 95742
Phone (818) 616-4426

1111 Exposition Blvd
Ste 301
Sacramento, CA 95815
Phone (916) 426-1959

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1124439419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2893 SUNRISE BLVD STE 103",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426527",
            "telephone_number": "916-400-4038",
            "fax_number": "916-400-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2893 SUNRISE BLVD STE 103",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426527",
            "telephone_number": "916-400-4038",
            "fax_number": "916-400-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO CORDOVA SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "VELASTEGUI",
        "authorized_official_first_name": "ROMEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "916-400-4038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.