Sutter Fairfield Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

110000525 Issued in CA

Legal business name

SUTTER FAIRFIELD SURGERY CENTER, LLC

Practice address

2700 Low CT
FL 2
Fairfield, CA 94534-9715

Phone

(707) 432-2700

Fax

(707) 432-2701

NPI assigned

Jun 13, 2005

Organization subpart

Yes

Parent organization

SUTTERMEDICAL FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Mrs. Clarissa T Fegan

Title

Administrator SFSC

Phone

(707) 432-2710

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sutter Fairfield Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Sutter Fairfield Surgery CenterCCN 05C0001696

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Sutter Medical Foundation North Bay

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sutter Valley Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Stockton, CA
  • NPI 1467825844

  Member Of

  NPD member

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1821092206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 LOW CT",
            "address_2": "FL 2",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945349715",
            "telephone_number": "707-432-2700",
            "fax_number": "707-432-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 LOW CT",
            "address_2": "FL 2",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945349715",
            "telephone_number": "707-432-2700",
            "fax_number": "707-432-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER FAIRFIELD SURGERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUTTERMEDICAL FOUNDATION",
        "enumeration_date": "2005-06-13",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "FEGAN",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR SFSC",
        "authorized_official_telephone_number": "707-432-2710",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "110000525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01696F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter Fairfield Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Superior Court of California County of Solano
• Surgical Imaging Services Inc.
• Ronald Susa, PHARMD
• Mark R Susskind, MD
• Lynda Sussman, PHD CLINICAL PSYCHOL
• Sutter Regional Medical Foundation
• Sutter Regional Medical Foundation
• Sutter Regional Medical Foundation
• Sutter Valley Medical Foundation
• Sutter Valley Medical Foundation

• Ambulatory Surgical Clinic/Center in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.

Verify at the official NPI Registry.