Capital Advanced Surgery a Professional Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A113444 Issued in CA

Legal business name

CAPITAL ADVANCED SURGERY A PROFESSIONAL CORPORATION

Doing business as

Capital Advanced Surgery

Practice address

8100 Bruceville Rd
Sacramento, CA 95823-2353

Phone

(916) 714-6666

Fax

(916) 714-6677

NPI assigned

Apr 5, 2012

Last updated

Mar 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wen Long, M.D.NPI 1316064546

Title

President

Phone

(916) 455-8666

Specialties & licenses 1

Addresses

Other names 1

• Capital Advanced Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wen Long, MD

  • Surgery Physician
  • Sacramento, CA
  • NPI 1316064546
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1619233582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 DEL PASO ROAD",
            "address_2": "SUITE 160 PMB 226",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958352808",
            "telephone_number": "916-455-8666",
            "fax_number": "916-455-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 BRUCEVILLE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232353",
            "telephone_number": "916-714-6666",
            "fax_number": "916-714-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 J St Ste 340",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958193666",
            "country_code": "US",
            "telephone_number": "916-455-8666",
            "fax_number": "916-714-6677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPITAL ADVANCED SURGERY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "WEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-455-8666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A113444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Advanced Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capital Advanced Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Brown Capel, PH.D.
• Cheyenne Andrea Capella
• Ocean Capewell
• Jessie James Capistrano
• Capital Adoptive Families Alliance
• Capital Allergy and Respiratory Disease Center a Med Corp
• Capital City Family Practice,Inc
• Capital City Housecalls, Inc
• Capital City Medical Monitoring
• Capital College & Career Academy

• Surgery Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.