Elkhorn Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ELKHORN SURGICAL CENTER

Practice address

5255 Elkhorn Blvd
B
Sacramento, CA 95842-2506

Phone

(916) 550-5375

NPI assigned

Apr 21, 2011

Organization subpart

No

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

Authorized official

Name

Valentin Krivitsky

Title

Corporate Officer

Phone

(916) 412-7181

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1366733578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 ELKHORN BLVD",
            "address_2": "B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95842",
            "telephone_number": "916-550-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 ELKHORN BLVD",
            "address_2": "B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958422506",
            "telephone_number": "916-550-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHORN SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "KRIVITSKY",
        "authorized_official_first_name": "VALENTIN",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "916-412-7181"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Apr 21, 2011; 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.