Michael J Fazio, MD, Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

CLN 670 Issued in CA

Legal business name

MICHAEL J FAZIO, MD, SURGERY CENTER

Practice address

2805 J St
Ste 100
Sacramento, CA 95816-4307

Phone

(916) 492-1828

Fax

(916) 492-1834

NPI assigned

Jun 9, 2005

Organization subpart

No

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

Authorized official

Name

Annette Bukowiec

Title

Medical Billing Representative

Phone

(916) 492-1828

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295739134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE # 74529",
            "address_2": "PO BOX 60000",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94160",
            "telephone_number": "916-492-1828",
            "fax_number": "916-492-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 J ST",
            "address_2": "STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164307",
            "telephone_number": "916-492-1828",
            "fax_number": "916-492-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J FAZIO, MD, SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUKOWIEC",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "MEDICAL BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "916-492-1828"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "CLN 670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudiu Mich, PHYSICAL THERAPIST
• Michael a. Uro DPM, Inc.
• Michael a. Warner, M.D., P.C.
• Michael G. Adelberg, a Professional Corporation
• Michael J Fazio, MD Inc
• Michael J Symes D.C, P.C
• Michael J. Kwiker D.O. Inc
• Michael J. Schermer, M.D. Inc.
• Michael J. Schermer, MD Professional Corporation
• Michael L Green, DDS, Inc

• Ambulatory Surgical Clinic/Center in Sacramento, CA
• Providers in Sacramento, 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 Aug 22, 2020; 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.