Active NPI
North Star Surgical Center LLC
- Interventional Pain Medicine Physician
- Folsom, CA
National Provider Identifier
1841030517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- NORTH STAR SURGICAL CENTER LLC
- Practice address
- 530 Plaza Dr Ste 110
Folsom, CA 95630-4782 - Phone
- (424) 254-3592
- Fax
- (424) 254-3593
- NPI assigned
- May 29, 2024
- Last updated
- May 29, 2024
- 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
- Dr. Munish Lal, MD
- Title
- Medical Director
- Phone
- (530) 592-6800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | NU | Primary |
Addresses
Primary practice location
530 Plaza Dr Ste 110
Folsom, CA 95630-4782
Mailing address
433 Camino de Las Colinas
Redondo Beach, CA 90277-6519
Phone (530) 592-6800
Other names 1
- NORTH STAR SURGICAL CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716940800000",
"number": "1841030517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 CAMINO DE LAS COLINAS",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902776519",
"telephone_number": "530-592-6800"
},
{
"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": "424-254-3592",
"fax_number": "424-254-3593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH STAR SURGICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-29",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A",
"authorized_official_last_name": "LAL",
"authorized_official_first_name": "MUNISH",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "530-592-6800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NORTH STAR SURGICAL CENTER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.