Altamont Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ALTAMONT SURGERY CENTER

Practice address

205 W 9TH St
Tracy, CA 95376-3921

Phone

(916) 235-6802

NPI assigned

Jan 15, 2025

Organization subpart

No

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

Authorized official

Name

Paul Schrupp

Title

Manager

Phone

(916) 768-2890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1194536664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALTAMONT SURGERY CENTER",
            "address_2": "530 PLAZA DRIVE #110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-235-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 9TH ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763921",
            "telephone_number": "916-235-6802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Altamont Surgery Center",
            "address_2": "530 Plaza Drive #110",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956304782",
            "country_code": "US",
            "telephone_number": "916-235-6802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALTAMONT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "SCHRUPP",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-768-2890"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael K Allen
• Quenton Alley
• Howard H Allison, MD
• Al Khan Cabanez Alsua, M.D.
• Altamont Emergency Physicians Medical Group Inc
• Allan Jesus Alvarado
• Carlos Alvarado
• Jamie Leeann Alvarado
• Linnet Alvarado
• Xitlalyt Alvarez Garcia

• Ambulatory Surgical Clinic/Center in Tracy, CA
• Providers in Tracy, 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 Jan 15, 2025; 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.