Comprehensive Surgical Care of Roseville, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COMPREHENSIVE SURGICAL CARE OF ROSEVILLE, LLC

Practice address

1386 Lead Hill BVLD
Roseville, CA 95661

Phone

(480) 591-9345

NPI assigned

Mar 24, 2023

Organization subpart

Yes

Parent organization

REGEN ASC MANAGEMENT, LLCAs reported in NPPES

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

Authorized official

Name

Joel RainwaterNPI 1518956499

Title

President

Phone

(480) 219-0123

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Joel R. Rainwater, M.D.

  • Diagnostic Radiology Physician
  • Gilbert, AZ
  • NPI 1518956499
  NPD (past) Authorized official
• Brian Evans, M.D.

  • Vascular & Interventional Radiology Physician
  • Grass Valley, CA
  • NPI 1518917582
  NPD (past)

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1134822398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1386 LEAD HILL BVLD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1386 LEAD HILL BVLD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "480-591-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE SURGICAL CARE OF ROSEVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGEN ASC MANAGEMENT, LLC",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "RAINWATER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-219-0123"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Recovery Resources
• Compassion Pathway Behavioral Health LLC
• Compassionate Home Health LTD
• Makenzie Compise
• Comprehensive Interventional Care Centers, PC
• Audrey K Compton, PA-C
• Confidental Care
• Christine Ann Conklin, R.A.S.
• Taylor Conley-Lipka
• Jason P Conley, RPH

• Ambulatory Surgical Clinic/Center in Roseville, CA
• Providers in Roseville, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.