Folsom Outpatient Surgery Center, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FOLSOM OUTPATIENT SURGERY CENTER, LP

Doing business as

Folsom Surgery Center

Practice address

1651 Creekside Dr
Ste 100
Folsom, CA 95630

Phone

(916) 673-1990

Fax

(916) 673-1999

NPI assigned

Mar 9, 2006

Organization subpart

No

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

Authorized official

Name

Eric Boon

Title

Officer/Authorized Official

Phone

(480) 567-0269

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Folsom Surgery Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Folsom Outpatient Surgery Center LP Dba Folsom Surgery CenterCCN 05C0001534

Medicare certification status

ActiveFrom the Provider of Services file

Member of 4

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

• Dignity Health Medical Foundation

  dba Dignity Health Medical Group - North State, a service of Dignity Healt

  • Multi-Specialty Clinic/Center
  • Redding, CA
  • NPI 1912288432

  Member Of

  NPD member
• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253

  Member Of

  NPD member
• Dignity Health

  dba Dignity Health St. Rose Specialty Clinics

  • Neurological Surgery Physician
  • Henderson, NV
  • NPI 1720358039

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  dba Baptist Health System

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1942278692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 CREEKSIDE DR",
            "address_2": "STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303833",
            "telephone_number": "916-673-1990",
            "fax_number": "916-673-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 CREEKSIDE DR",
            "address_2": "STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-673-1990",
            "fax_number": "916-673-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLSOM OUTPATIENT SURGERY CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "BOON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-567-0269"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00308892",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Folsom Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Folsom Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Folsom Medical Practice Inc
• Folsom Medical Supply LLC
• Folsom Obstetrics & Gynecology Medical Group Inc (Folsom Obstetrics and Gynecology Medical Group Inc)
• Folsom Optometry Center
• Folsom Orthopaedic Surgery & Sports Injury Medical Clinic, Inc.
• Folsom Physical Therapy & Training Center Inc
• Folsom Physical Therapy and Training Center
• Folsom Plaza Surgical Associates, Inc
• Folsom Plaza Surgical Associates, Inc
• Folsom Sierra Endoscopy Center LP

• Ambulatory Surgical Clinic/Center in Folsom, CA
• Providers in Folsom, 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 Oct 7, 2024; 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.