Organization Active NPI

Northern California Specialty Surgical Center

  • Ambulatory Fertility Facility
  • Sacramento, CA
National Provider Identifier
1255964763
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Fertility FacilityTaxonomy code 261QA0006X
Legal business name
NORTHERN CALIFORNIA SPECIALTY SURGICAL CENTER
Practice address
4320 Auburn Blvd
Sacramento, CA 95841-4166
Phone
(916) 773-2229
Fax
(916) 773-8391
NPI assigned
Feb 13, 2020
Organization subpart
Yes
Parent organization
NCFMCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Denise Koenes
Title
Executive Director
Phone
(916) 773-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Fertility Facility 261QA0006X Primary

Addresses

Primary practice location

4320 Auburn Blvd
Sacramento, CA 95841-4166

Mailing address

4320 Auburn Blvd
Sacramento, CA 95841
Phone (916) 773-2229

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 9167738391

National Provider Directory

National Provider Directory
Tax ID family
Ncfmc2 organizations share this tax ID, including this one
Part of
Ncfmc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1255964763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 AUBURN BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95841",
            "telephone_number": "916-773-2229",
            "fax_number": "916-773-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 AUBURN BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414166",
            "telephone_number": "916-773-2229",
            "fax_number": "916-773-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA SPECIALTY SURGICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NCFMC",
        "enumeration_date": "2020-02-13",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "KOENES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-773-2229"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9167738391",
            "affiliation": "N",
            "endpointDescription": "Fax line",
            "address_1": "4320 Auburn Blvd",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958414166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.