Norcal Specialty Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

20098510003 Issued in CA

Legal business name

NORCAL SPECIALTY SURGERY CENTER, LLC

Practice address

730 Bennett Valley Rd
Santa Rosa, CA 95404-5514

Phone

(707) 396-5200

NPI assigned

Feb 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Eric Stephan Schmidt, M.D.NPI 1720012149

Title

Owner

Phone

(707) 396-5200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 05C0001941

Legal name

NORCAL SPECIALTY SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Sep 1, 2010

Last certification

Sep 2, 2016

Ownership / control type

Proprietary

Facility address

730 Bennett Valley Road
Santa Rosa, CA 95404

Locations

Practitioners 1

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

• Eric Stephan Schmidt, M.D.

  • Orthopaedic Surgery Physician
  • Santa Rosa, CA
  • NPI 1720012149
  NPD Authorized official

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1386966935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 BENNETT VALLEY RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045514",
            "telephone_number": "707-396-5200",
            "fax_number": "707-396-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 BENNETT VALLEY RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045514",
            "telephone_number": "707-396-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORCAL SPECIALTY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "STEPHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-396-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "20098510003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Eugene Nocera, FNP
• Allison Noesekabel
• Marina Nojima
• Megan Nolan
• Norcal Skin Disease and Surgery Inc
• Karen Nordback
• Karen E Nordeen, LMFT
• Norman Pang MD
• Norman Pang MD
• John Lawrence Norris, M.D.

• Ambulatory Surgical Clinic/Center in Santa Rosa, CA
• Providers in Santa Rosa, 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 Jul 27, 2010; 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.