Active NPI
Northern California Advanced Surgery Center LP
- Ambulatory Surgical Clinic/Center
- Sacramento, CA
National Provider Identifier
1710127774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- NORTHERN CALIFORNIA ADVANCED SURGERY CENTER LP
- Practice address
- 5771 Greenback LN
Sacramento, CA 95841-2013 - Phone
- (916) 453-5450
- NPI assigned
- Mar 3, 2009
- 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
- Joel Pearlman, MD
- Title
- Medical Director
- Phone
- (916) 514-5469
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
5771 Greenback LN
Sacramento, CA 95841-2013
Mailing address
3 Park Center Dr Ste 210
Sacramento, CA 95825-8341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090407000495 | CA | Part B Supplier - Ambulatory Surgical Center | 6608923735 | Practice locations: Sacramento, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Northern California Advanced Surgery Center LP
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1102473 | Northern California Advanced Surgery Center, LP | Certificate of waiver | Jul 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
3939 J St
Ste 104
Sacramento, CA 95819
Phone (916) 453-4768
3939 J St
Ste 100
Sacramento, CA 95819
Phone (916) 452-1606
3 Park Center Dr
Ste 210
Sacramento, CA 95825
Phone (916) 454-6191
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Retina Specialist (Ophthalmology) Physician
- Sacramento, CA
- NPI 1366948598
-
- Retina Specialist (Ophthalmology) Physician
- Sacramento, CA
- NPI 1164531430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737590400000",
"number": "1710127774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PARK CENTER DR STE 210",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958258341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5771 GREENBACK LN",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958412013",
"telephone_number": "916-453-5450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN CALIFORNIA ADVANCED SURGERY CENTER LP",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-03",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A",
"authorized_official_last_name": "PEARLMAN",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "916-514-5469",
"authorized_official_credential": "MD"
},
"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
- Lisa North
- Teresa Eileen North, P.A.-C
- Angelica Dontrell Northcross-Jenkins
- Jasalynne Northcross
- Northern Calif Childrens Hematology & Oncology Med GRP Inc
- Northern California Cardiology Associates Medical Group Inc
- Northern California Mental Health LLC
- Northern California Neurological Surgeons
- Northern California Orthopaedic Associates Corp
- Northern California P.E.T. Imaging Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.