SIERRA AMBULATORY SURGERY CENTER
NPI 1043254063
Clinic/Center - Ambulatory Surgical in Grass Valley, CA

Active since June 16, 2006CLIA 05D1050971 · Waiver
400 SIERRA COLLEGE DRIVE, SUITE B, GRASS VALLEY, CA 95945(530) 272-3428(530) 272-3429 Get Directions Write a Review

NPPES record last updated: December 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sierra Ambulatory Surgery Center NPPES

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

SIERRA AMBULATORY SURGERY CENTER (NPI 1043254063) is a healthcare organization registered as an ambulatory surgical in Grass Valley, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through February 15, 2028 and lists John Edward Hagele, President, as its authorized official.

NPPES Registry Identity

NPI1043254063
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSIERRA AMBULATORY SURGERY CENTER
Location Address400 SIERRA COLLEGE DRIVE, SUITE BGrass Valley, CA 95945-5089
Mailing Address400 Sierra College Drive, Suite BGrass Valley, CA 95945-5089 · (530) 272-3428 · Fax (530) 272-3429
Fax(530) 272-3429
Organization SubpartNo
Authorized OfficialJohn Edward HagelePresident · (530) 272-3411
Enumeration DateJune 16, 2006
Last NPPES UpdateDecember 27, 2012
NPI 1043254063 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 · 550000155
400 SIERRA COLLEGE DRIVE, Grass Valley, CA 95945

Other Identifiers 2

Other550000155CA · State License Number
Medicare ID-Type Unspecified05C0001760CA · Provider Number

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 05D1050971

Sierra Ambulatory Surgery Center · Grass Valley, CA
Active · expires Feb 15, 2028
CLIA Number05D1050971
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorGregory J. Porter, MD
Laboratory Phone(530) 272-3428
Laboratory LocationSierra Ambulatory Surgery Center400 Sierra College Drive, Ste B, Grass Valley, CA 95945
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 11

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.

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.
796 services466 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
185 services154 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
76 services46 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
71 services43 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
66 services41 patients
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.
49 services30 patients

Other Providers at the Same Location NPPES

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

Optometrist
400 SIERRA COLLEGE DRIVE, SUITE A
GRASS VALLEY, CA 95945

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sierra Ambulatory Surgery Center's NPI number?

The NPI number for Sierra Ambulatory Surgery Center is 1043254063. It was assigned to this organization in the NPPES registry on June 16, 2006.

Where is Sierra Ambulatory Surgery Center located?

Sierra Ambulatory Surgery Center is located at 400 Sierra College Drive Suite B, Grass Valley, CA 95945. The listed phone number is (530) 272-3428.

What is Sierra Ambulatory Surgery Center's specialty?

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

Does Sierra Ambulatory Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1050971) is associated with this NPI, valid through February 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sierra Ambulatory Surgery Center was last updated on December 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.