NPIMap

Organization Active NPI

Nivano Ambulatory Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • Sacramento, CA
National Provider Identifier
1497130660
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NIVANO AMBULATORY SURGERY CENTER, LP
Practice address
77 Cadillac Dr
Suite 130
Sacramento, CA 95825-5453
Phone
(916) 407-2222
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Venu Kondle, M.D.NPI 1023025863
Title
Ceo
Phone
(530) 300-3074

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

77 Cadillac Dr
Suite 130
Sacramento, CA 95825-5453

Mailing address

77 Cadillac Dr
Suite 130
Sacramento, CA 95825-5453

National Provider Directory

National Provider Directory

Locations

77 Cadillac Dr
Ste 130
Sacramento, CA 95825
Phone (916) 250-2600

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1497130660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR",
            "address_2": "SUITE 130",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR",
            "address_2": "SUITE 130",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255453",
            "telephone_number": "916-407-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIVANO AMBULATORY SURGERY CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "KONDLE",
        "authorized_official_first_name": "VENU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-300-3074",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.