BLACKHAWK SURGERY CENTER, A MEDICAL CORP.
NPI 1144259870
Clinic/Center - Ambulatory Surgical in Danville, CA

Active since July 03, 2006CLIA 05D1043954 · Waiver
3601 BLACKHAWK PLAZA CIRCLE, DANVILLE, CA 94506(925) 736-5757(925) 736-5763 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blackhawk Surgery Center, A Medical Corp. NPPES

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

BLACKHAWK SURGERY CENTER, A MEDICAL CORP. (NPI 1144259870) is a healthcare organization registered as an ambulatory surgical in Danville, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 7, 2027 and lists Stephen J. Ronan, Owner, as its authorized official.

NPPES Registry Identity

NPI1144259870
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBLACKHAWK SURGERY CENTER, A MEDICAL CORP.
Location Address3601 BLACKHAWK PLAZA CIRCLEDanville, CA 94506
Mailing Address11999 San Vicente Bl., # 440Los Angeles, CA 90049 · (310) 440-3131 · Fax (310) 472-9582
Fax(925) 736-5763
Organization SubpartNo
Authorized OfficialStephen J. RonanOwner · (925) 736-5757
Enumeration DateJuly 3, 2006
Last NPPES UpdateOctober 31, 2007
NPI 1144259870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3601 BLACKHAWK PLAZA CIRCLE, Danville, CA 94506

Other Identifiers 1

Medicare PINZZZ31879ZCA

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 05D1043954

Blackhawk Surgery Center · Danville, CA
Active · expires Aug 7, 2027
CLIA Number05D1043954
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 8, 2025
Certificate Expiration DateAugust 7, 2027
Laboratory DirectorStephen J. Ronan MD
Laboratory Phone(925) 736-5757
Laboratory LocationBlackhawk Surgery Center3600 Blackhawk Plaza Circle, Danville, CA 94506
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Blackhawk Surgery Center, A Medical Corp.'s NPI number?

The NPI number for Blackhawk Surgery Center, A Medical Corp. is 1144259870. It was assigned to this organization in the NPPES registry on July 3, 2006.

Where is Blackhawk Surgery Center, A Medical Corp. located?

Blackhawk Surgery Center, A Medical Corp. is located at 3601 Blackhawk Plaza Circle, Danville, CA 94506. The listed phone number is (925) 736-5757.

What is Blackhawk Surgery Center, A Medical Corp.'s specialty?

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

Does Blackhawk Surgery Center, A Medical Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1043954) is associated with this NPI, valid through August 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blackhawk Surgery Center, A Medical Corp. was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.