PROCEDURE CENTER OF SOUTH SACRAMENTO INC
NPI 1174597819
Clinic/Center - Ambulatory Surgical in Sacramento, CA

Q: What is Procedure Center Of South Sacramento Inc's specialty?

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

Active since February 16, 2006CLIA 05D1013433 · Waiver

8120 TIMBERLAKE WAY, STE 103, SACRAMENTO, CA 95823(916) 423-2124(916) 423-2127 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Procedure Center Of South Sacramento Inc NPPES

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

PROCEDURE CENTER OF SOUTH SACRAMENTO INC (NPI 1174597819) is a healthcare organization registered as an ambulatory surgical in Sacramento, California and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through June 9, 2027 and lists Thomas J Imperato, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1174597819

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePROCEDURE CENTER OF SOUTH SACRAMENTO INC

Location Address8120 TIMBERLAKE WAY, STE 103Sacramento, CA 95823-5412

Mailing Address8120 Timberlake Way, Ste 103Sacramento, CA 95823-5412 · (916) 423-2124 · Fax (916) 423-2127

Phone(916) 423-2124

Fax(916) 423-2127

Organization SubpartNo

Authorized OfficialThomas J ImperatoMedical Director · (916) 423-2124

Enumeration DateFebruary 16, 2006

Last NPPES UpdateDecember 5, 2012

✔ NPI 1174597819 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 · 030000773

8120 TIMBERLAKE WAY, Sacramento, CA 95823

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Other Identifiers 3

MedicaidSUR01604FCA

OtherP00106216CA · Railroad Medicare

Medicare ID-Type UnspecifiedZZZ25432ZCA · Ambulatory Surgical

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 05D1013433

Procedure Center Of South Sacramento · Sacramento, CA

Active · expires Jun 9, 2027

CLIA Number05D1013433

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJune 10, 2025

Certificate Expiration DateJune 9, 2027

Laboratory DirectorThomas Imperato MD

Laboratory Phone(916) 681-2350

Laboratory LocationProcedure Center Of South Sacramento8120 Timberlake #103, Sacramento, CA 95823

CLIA data matches this NPI record on: Name

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

Other Providers at the Same Location NPPES 20

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

CHRISTINA VOGEL O.D.

Optometrist

8120 TIMBERLAKE WAY, STE 211
SACRAMENTO, CA 95823

Sacramento County (916) 423-2134

CHERIE L COOPER NP

Nurse Practitioner

8120 TIMBERLAKE WAY, STE 101
SACRAMENTO, CA 95823

Sacramento County (916) 423-2124

DEAN P. RINARD M.D.

Internal Medicine

8120 TIMBERLAKE WAY
SACRAMENTO, CA 95823

Sacramento County (916) 681-6000

DR. NATALIE WESSEL BULOCK DO

Obstetrics & Gynecology

8120 TIMBERLAKE WAY, SUITE 102
SACRAMENTO, CA 95823

Sacramento County (916) 681-6102

MARIANA KURCHIN

Nurse Practitioner (Family)

8120 TIMBERLAKE WAY
SACRAMENTO, CA 95823

Sacramento County (916) 525-7400

JOE P LE M.D.

Family Medicine

8120 TIMBERLAKE WAY, STE. 207
SACRAMENTO, CA 95823

Sacramento County (916) 691-5855

DR. JOHN T HATA M.D.

Internal Medicine (Gastroenterology)

8120 TIMBERLAKE WAY, STE 101
SACRAMENTO, CA 95823

Sacramento County (916) 423-2124

DANIEL MICHAEL D AMICO MD

Orthopaedic Surgery (Orthopaedic Trauma)

8120 TIMBERLAKE WAY, SUITE 201
SACRAMENTO, CA 95823

Sacramento County (916) 525-0620

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 Procedure Center Of South Sacramento Inc's NPI number?

The NPI number for Procedure Center Of South Sacramento Inc is 1174597819. It was assigned to this organization in the NPPES registry on February 16, 2006.

Where is Procedure Center Of South Sacramento Inc located?

Procedure Center Of South Sacramento Inc is located at 8120 Timberlake Way Ste 103, Sacramento, CA 95823. The listed phone number is (916) 423-2124.

What is Procedure Center Of South Sacramento Inc's specialty?

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

Does Procedure Center Of South Sacramento Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1013433) is associated with this NPI, valid through June 9, 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 Procedure Center Of South Sacramento Inc was last updated on December 5, 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.