Fort Sutter Surgery Center a California Limited Partnership

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FORT SUTTER SURGERY CENTER A CALIFORNIA LIMITED PARTNERSHIP

Practice address

2801 K St
Suite 525
Sacramento, CA 95816-5120

Phone

(916) 733-5017

NPI assigned

Apr 3, 2006

Organization subpart

No

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

Authorized official

Name

Bradley Heaton

Title

Ceo

Phone

(916) 566-4907

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 55C0001059

Legal name

FORT SUTTER SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jan 26, 1987

Last certification

Feb 1, 2019

Ownership / control type

Proprietary

Facility address

2801 K Street, Suite 525
Sacramento, CA 95816

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Fort Sutter Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Sacramento, CA
  • NPI 1235480476

  O20050113000335

  Same enrollment

Listed as

Fort Sutter Surgery CenterCCN 05C0001001

Medicare certification status

Terminated Voluntary: merger or closure, Apr 30, 2014From the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Sutter Valley Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Stockton, CA
  • NPI 1467825844

  Member Of

  NPD member

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1164484572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 K ST",
            "address_2": "SUITE 525",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 K ST",
            "address_2": "SUITE 525",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165120",
            "telephone_number": "916-733-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SUTTER SURGERY CENTER A CALIFORNIA LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "HEATON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-566-4907"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Forsberg, BA, RBT
• Karl Michael Forster
• Rosemary A Forster, PA
• Fort Sutter Chiropractic
• Fort Sutter Surgery Center
• Iyana Fort
• Emily Fortney, PSY.D.
• Lorelei Fosnight
• Mary M Fossum
• Alyssa Foster

• Ambulatory Surgical Clinic/Center in Sacramento, CA
• Providers in Sacramento, 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 May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.