SUNRISE SURGICAL INSTITUTE
NPI 1174396212
Clinic/Center - Ambulatory Surgical in Rancho Cordova, CA

Active since October 31, 2023CLIA 05D2313584 · Waiver
2893 SUNRISE BLVD STE 103, RANCHO CORDOVA, CA 95742(916) 768-2890 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jun 24, 2024, Oct 31, 2023 (2 updates tracked since 2023).

About Sunrise Surgical Institute NPPES

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

SUNRISE SURGICAL INSTITUTE (NPI 1174396212) is a healthcare organization registered as an ambulatory surgical in Rancho Cordova, California and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through November 3, 2026 and lists Natasha Navarro, Manager, as its authorized official.

NPPES Registry Identity

NPI1174396212
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSUNRISE SURGICAL INSTITUTE
Location Address2893 SUNRISE BLVD STE 103Rancho Cordova, CA 95742-6527
Mailing Address2893 Sunrise Blvd Ste 103Rancho Cordova, CA 95742-6527 · (916) 768-2890
Organization SubpartNo
Authorized OfficialNatasha NavarroManager · (916) 382-8270
Enumeration DateOctober 31, 2023
Last NPPES UpdateJune 24, 20242 updates tracked since enumeration
NPPES CertifiedMay 21, 2024
NPI 1174396212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2893 SUNRISE BLVD STE 103, Rancho Cordova, CA 95742

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 05D2313584

Sunrise Surgical Institute, LLC · Rancho Cordova, CA
Active · expires Nov 3, 2026
CLIA Number05D2313584
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorSonny Rubin
Laboratory Phone(916) 317-3459
Laboratory LocationSunrise Surgical Institute, LLC2893 Sunrise Blvd Suite 103, Rancho Cordova, CA 95742
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center (Ambulatory Surgical)
2893 SUNRISE BLVD STE 103
RANCHO CORDOVA, CA 95742

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 Sunrise Surgical Institute's NPI number?

The NPI number for Sunrise Surgical Institute is 1174396212. It was assigned to this organization in the NPPES registry on October 31, 2023.

Where is Sunrise Surgical Institute located?

Sunrise Surgical Institute is located at 2893 Sunrise Blvd Ste 103, Rancho Cordova, CA 95742. The listed phone number is (916) 768-2890.

What is Sunrise Surgical Institute's specialty?

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

Does Sunrise Surgical Institute hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2313584) is associated with this NPI, valid through November 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sunrise Surgical Institute was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.