Folsom Total Joint Center, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

FOLSOM TOTAL JOINT CENTER, LLC

Practice address

530 Plaza Dr Ste 110
Folsom, CA 95630-4782

Phone

(805) 766-6319

NPI assigned

Jan 6, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Simone Renate Mueller, RN

Title

Administrator

Phone

(805) 766-6319

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 55C0001145

Legal name

Folsom Total Joint Center, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jan 20, 2022

Last certification

Jan 20, 2022

Ownership / control type

Proprietary

Facility address

530 Plaza Drive, Suite 110
Folsom, CA 95630

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaun Michael Lea, CRNA

  • Certified Registered Nurse Anesthetist
  • Bakersfield, CA
  • NPI 1245570035
  NPD (past)

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1346838240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W BRANCH ST",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202602",
            "telephone_number": "805-766-6319"
        },
        {
            "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": "805-766-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLSOM TOTAL JOINT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_middle_name": "RENATE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-766-6319",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Folsom Physical Therapy and Training Center
• Folsom Plaza Surgical Associates, Inc
• Folsom Plaza Surgical Associates, Inc
• Folsom Sierra Endoscopy Center LP
• Folsom Teen and Family Counseling Services, Professional Corporation
• Folsom Urgent Care Inc
• Folsom Urology Surgical Associates Inc
• Foodom Inc
• Foothills Speech & Language, Inc.
• Emiley Fong Ford, M.D.

• Orthopaedic Surgery Physician in Folsom, CA
• Providers in Folsom, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.