Organization Active NPI

Deer Creek Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Chico, CA
National Provider Identifier
1174039036
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
DEER CREEK SURGERY CENTER LLC
Practice address
127 Raley Blvd.
Chico, CA 95928
Phone
(530) 720-0176
NPI assigned
Dec 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Brett Butz, MDNPI 1538155668
Title
Owner/President
Phone
(530) 720-0176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

127 Raley Blvd.
Chico, CA 95928

Mailing address

127 Raley Blvd.
Chico, CA 95928-8347

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Deer Creek Surgery Center LLCCCN 05C0002177
Medicare certification status
Terminated Voluntary: merger or closure, Apr 1, 2025From the Provider of Services file

National Provider Directory

National Provider Directory

Locations

127 Raley Blvd
Chico, CA 95928
Phone (530) 720-0176

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": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1174039036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 RALEY BLVD.",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288347",
            "fax_number": "530-636-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 RALEY BLVD.",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95928",
            "telephone_number": "530-720-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER CREEK SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "BUTZ",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "530-720-0176",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.