Active NPI
Folsom Plaza Surgical Associates, Inc
- Ambulatory Surgical Clinic/Center
- Folsom, CA
National Provider Identifier
1801534433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- FOLSOM PLAZA SURGICAL ASSOCIATES, INC
- Practice address
- 530 Plaza Dr Ste 110
Folsom, CA 95630-4782 - Phone
- (916) 235-6802
- NPI assigned
- May 24, 2022
- 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
- Paul Schrupp
- Title
- Manager
- Phone
- (916) 235-6802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
530 Plaza Dr Ste 110
Folsom, CA 95630-4782
Mailing address
530 Plaza Dr Ste 110
Folsom, CA 95630-4782
Phone (916) 235-6802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1801534433. Details of each certification follow.
Ambulatory surgical center certification: CCN 05C0002242
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- FOLSOM PLAZA SURGICAL ASSOCIATES, INC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Feb 16, 2021
- Last certification
- Feb 16, 2021
- Ownership / control type
- Proprietary
- Facility address
- 530 Plaza Drive, Suite 110
Folsom, CA 95630
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653350400000",
"number": "1801534433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 PLAZA DR STE 110",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304782",
"telephone_number": "916-235-6802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 PLAZA DR STE 110",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956304782",
"telephone_number": "916-235-6802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOLSOM PLAZA SURGICAL ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-24",
"last_updated": "2022-05-24",
"certification_date": "2022-05-08",
"status": "A",
"authorized_official_last_name": "SCHRUPP",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "916-235-6802"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
- Folsom Orthopaedic Surgery & Sports Injury Medical Clinic, Inc.
- Folsom Outpatient Surgery Center, LP (Folsom Surgery Center)
- Folsom Physical Therapy & Training Center Inc
- Folsom Physical Therapy and Training Center
- Folsom Plaza Surgical Associates, Inc
- Folsom Sierra Endoscopy Center LP
- Folsom Teen and Family Counseling Services, Professional Corporation (Elite Teen Counseling)
- Folsom Total Joint Center, LLC
- Folsom Urgent Care Inc
- Folsom Urology Surgical Associates Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.