Active NPI
Northern California Specialty Surgical Center
- Ambulatory Fertility Facility
- Sacramento, CA
National Provider Identifier
1255964763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Fertility Facility
- 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
- NCFMC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 9167738391 |
National Provider Directory
National Provider Directory- Tax ID family
- Ncfmc
- Part of
- Ncfmc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Reproductive Endocrinology Physician
- Sacramento, CA
- NPI 1770218935
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.
-
- Reproductive Endocrinology Physician
- Sacramento, CA
- NPI 1770218935
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
- Northern California Cardiology Associates Medical Group Inc
- Northern California Mental Health LLC
- Northern California Neurological Surgeons
- Northern California Orthopaedic Associates Corp
- Northern California P.E.T. Imaging Center
- Northern California Surgical Associates, Inc.
- Ashli Northern
- Northgate Dentists
- Northlight Wellness, a Professional Nursing Corporation
- Northstar Home Care LLC
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.