Placer Surgical Associates

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PLACER SURGICAL ASSOCIATES

Practice address

2 Medical Plaza Dr
Suite 120
Roseville, CA 95661-3043

Phone

(916) 797-7533

Fax

(916) 797-4712

NPI assigned

Aug 5, 2006

Last updated

Aug 22, 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. Andrew Richard Demar Jr., M.D.NPI 1891716023

Title

President

Phone

(916) 797-7533

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Andrew Richard De Mar Jr., M.D.

  • Surgery Physician
  • Roseville, CA
  • NPI 1891716023
  NPD (past) Authorized official
• Philip Bosco, M.D.

  • Surgery Physician
  • Roseville, CA
  • NPI 1376566422
  NPD (past)
• Michael Glenn Ridgeway, M.D.

  • Surgery Physician
  • Roseville, CA
  • NPI 1952322083
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700895943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA DR",
            "address_2": "SUITE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613043",
            "telephone_number": "916-797-7533",
            "fax_number": "916-797-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA DR",
            "address_2": "SUITE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613043",
            "telephone_number": "916-797-7533",
            "fax_number": "916-797-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACER SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMAR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-797-7533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Placer County Mental Health Berkeley
• Placer Dermatology & Skin Care Center Inc. (Placer Dermatology & Skin Care Center)
• Placer Medical Center, Inc
• Placer Optometry, Inc.
• Placer Psychological Wellness Group, Inc
• Planned Parenthood Mar Monte, Inc
• Mary M Planta, M.D.
• Ryan Raymond Plewe, D.D.S., M.S.
• Gregory S. Pluckhan, D.D.S.
• Stella Plukchi, PA-C, MHS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.