Organization Active NPI

Avicenna Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Folsom, CA
National Provider Identifier
1245146554
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AVICENNA SURGERY CENTER, INC.
Practice address
530 Plaza Dr Ste 110
Folsom, CA 95630-4782
Phone
(916) 235-6802
NPI assigned
Aug 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Mr. Paul Schrupp
Title
Ceo
Phone
(916) 235-6802

Specialties & licenses 1

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

Addresses

Primary practice location

530 Plaza Dr Ste 110
Folsom, CA 95630-4782

Mailing address

530 Plaza Dr Ste 110
Folsom, CA 95630-4782
Phone (916) 768-2890

Other practice location 1

100 N Wiget Ln Ste 140
Walnut Creek, CA 94598-5917
Phone (916) 235-6802

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1245146554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PLAZA DR STE 110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304782",
            "telephone_number": "916-768-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 PLAZA DR STE 110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304782",
            "telephone_number": "916-235-6802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Wiget Ln Ste 140",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945985917",
            "country_code": "US",
            "telephone_number": "916-235-6802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVICENNA SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "SCHRUPP",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-235-6802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.