RENAISSANCE SURGERY CENTER, LLC
NPI 1013068642
Clinic/Center - Ambulatory Surgical in Fresno, CA

Q: What is Renaissance Surgery Center, LLC's NPI number?

The NPI number for Renaissance Surgery Center, LLC is 1013068642. It was assigned to this organization in the NPPES registry on January 12, 2007.

Q: What is Renaissance Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since January 12, 2007CLIA 05D1067396 · Waiver

2365 E FIR AVE, FRESNO, CA 93720(559) 797-9100(559) 797-9103 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 4, 2024, Oct 11, 2024, Aug 24, 2023 and 1 more (4 updates tracked since 2018).

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About Renaissance Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAISSANCE SURGERY CENTER, LLC (NPI 1013068642) is a healthcare organization registered as an ambulatory surgical in Fresno, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 16, 2027 and lists Eric Boon, Officer / Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1013068642

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameRENAISSANCE SURGERY CENTER, LLC

Location Address2365 E FIR AVEFresno, CA 93720-8016

Mailing Address2365 E Fir AveFresno, CA 93720-8016 · (559) 797-9100 · Fax (559) 797-9103

Phone(559) 797-9100

Fax(559) 797-9103

Organization SubpartNo

Authorized OfficialEric BoonOfficer / Authorized Official · (480) 567-0269

Enumeration DateJanuary 12, 2007

Last NPPES UpdateDecember 4, 20244 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1013068642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in CA · 550000544

2365 E FIR AVE, Fresno, CA 93720

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1067396

Renaissance Surgery Center · Fresno, CA

Active · expires Apr 16, 2027

CLIA Number05D1067396

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateApril 17, 2025

Certificate Expiration DateApril 16, 2027

Laboratory DirectorJonathan D. Grossman MD

Laboratory Phone(559) 797-9100

Laboratory LocationRenaissance Surgery Center2365 E Fir Ave, Fresno, CA 93720

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

69 services34 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

29 services19 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

24 services22 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

19 services14 patients

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENT YAMAGUCHI M.D.

Plastic Surgery