Organization Active NPI

Prestige Bariatric and Surgical Specialists Inc

  • Obesity Medicine (Family Medicine) Physician
  • Sacramento, CA
National Provider Identifier
1750848941
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
Legal business name
PRESTIGE BARIATRIC AND SURGICAL SPECIALISTS INC
Practice address
7551 Timberlake Way Ste 230
Sacramento, CA 95823-5422
Phone
(916) 347-3630
Fax
(916) 347-3632
NPI assigned
Feb 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Hsinju Ruby GatschetNPI 1871753731
Title
General Surgery
Phone
(209) 333-7600

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
Obesity Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QB0002X Primary

Addresses

Primary practice location

7551 Timberlake Way Ste 230
Sacramento, CA 95823-5422

Mailing address

7551 Timberlake Way Ste 230
Sacramento, CA 95823-5422
Phone (916) 347-3630

Other identifiers 1

IdentifierTypeStateIssuer
FG3966150OtherCACA167045

National Provider Directory

National Provider Directory
Tax ID family
Prestige Bariatric and Surgical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7551 Timberlake Way
Ste 230
Sacramento, CA 95823
Phone (916) 347-3630

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": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1750848941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 TIMBERLAKE WAY STE 230",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235422",
            "telephone_number": "916-347-3630",
            "fax_number": "916-347-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 TIMBERLAKE WAY STE 230",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235422",
            "telephone_number": "916-347-3630",
            "fax_number": "916-347-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE BARIATRIC AND SURGICAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GATSCHET",
        "authorized_official_first_name": "HSINJU",
        "authorized_official_middle_name": "RUBY",
        "authorized_official_title_or_position": "GENERAL SURGERY",
        "authorized_official_telephone_number": "209-333-7600"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA167045",
            "identifier": "FG3966150",
            "state": "CA"
        }
    ],
    "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 Mar 7, 2023; 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.