Active NPI
Sacramento Advanced Laparoscopic Surgery Associates
- Surgical Physician Assistant
- Roseville, CA
National Provider Identifier
1447356290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA16323
- Legal business name
- SACRAMENTO ADVANCED LAPAROSCOPIC SURGERY ASSOCIATES
- Practice address
- 2 Medical Plaza Dr
Suite 264
Roseville, CA 95661-3043 - Phone
- (916) 797-7555
- Fax
- (916) 797-7501
- NPI assigned
- Sep 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald Waldrep, M.D.
- Title
- Ceo
- Phone
- (916) 797-7555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA16323 | CA | Primary |
Addresses
Primary practice location
2 Medical Plaza Dr
Suite 264
Roseville, CA 95661-3043
Mailing address
2 Medical Plaza Dr
Suite 264
Roseville, CA 95661-3043
Phone (916) 797-7555
National Provider Directory
National Provider Directory- Tax ID family
- Sacramento Advanced Laparoscopic Surgery
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgery Physician
- Roseville, CA
- NPI 1760683130
-
- Surgery Physician
- Thousand Oaks, CA
- NPI 1316395395
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Thousand Oaks, CA
- NPI 1679630446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233878400000",
"number": "1447356290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MEDICAL PLAZA DR",
"address_2": "SUITE 264",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613043",
"telephone_number": "916-797-7555",
"fax_number": "916-797-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL PLAZA DR",
"address_2": "SUITE 264",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613043",
"telephone_number": "916-797-7555",
"fax_number": "916-797-7501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRAMENTO ADVANCED LAPAROSCOPIC SURGERY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-16",
"last_updated": "2009-02-06",
"status": "A",
"authorized_official_last_name": "WALDREP",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-797-7555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA16323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.