Active NPI
Rancho Cordova Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Rancho Cordova, CA
National Provider Identifier
1124439419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryMember 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.
-
- Nephrology Physician
- Sacramento, CA
- NPI 1780608901
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.