Santa Rosa Ambulatory Surgical Center Medical Group Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SANTA ROSA AMBULATORY SURGICAL CENTER MEDICAL GROUP INC

Practice address

76 Brookwood Ave Ste B
Santa Rosa, CA 95404-4312

Phone

(707) 523-4907

Fax

(707) 523-4953

NPI assigned

Nov 21, 2006

Last updated

Jul 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sophie Pappas

Title

Cfo

Phone

(707) 523-4907

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Santa Rosa Ambulatory Surgical Center Medical Group IncCCN 05C0001652

Medicare certification status

ActiveFrom 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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Bernard Albert Pappas, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Santa Rosa, CA
  • NPI 1003980566
  NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1215002852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BROOKWOOD AVE STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044312",
            "telephone_number": "707-523-4907",
            "fax_number": "707-523-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BROOKWOOD AVE STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044312",
            "telephone_number": "707-523-4907",
            "fax_number": "707-523-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA AMBULATORY SURGICAL CENTER MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "707-523-4907"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sands, NP
• Rajveer Sangera, DO
• Arielle Kalyani Sanghvi, MD
• Janel Nicole Sanglerat
• Santa Rosa Adult & Child Center for Cognitive Behavioral Therapy (Santa Rosa Center For Cogntive Behavioral Therapy)
• Santa Rosa Back Fitness and Physical Therapy Inc
• Santa Rosa Cardiac Imaging
• Santa Rosa Cardiac Surgery
• Santa Rosa Cardiology Medical Group, Inc.
• Santa Rosa City Schools

• Ambulatory Surgical Clinic/Center in Santa Rosa, CA
• Providers in Santa Rosa, 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 Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.