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

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: July 19, 2026.

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.Information from the official NPPES registry record, last updated December 5, 2012.

NPPES Registry Identity

NPI1174597819
Entity TypeOrganization
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
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. How NPI validation works

Primary Specialty

Clinic/Center · Ambulatory Surgical

Taxonomy 261QA1903X · Ambulatory Health Care Facilities

Licensed in CA · 030000773
8120 TIMBERLAKE WAY, Sacramento, CA 95823

Also on File with NPPES

Other Identifiers3
SUR01604F (Medicaid, CA)
P00106216 (Other, CA, Railroad Medicare)
ZZZ25432Z (Medicare ID-Type Unspecified, CA, Ambulatory Surgical)

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D1013433
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 10, 2025
Certificate Expiration Date
June 09, 2027
Laboratory Director
THOMAS IMPERATO MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Procedure Center Of South Sacramento Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Optometrist
8120 TIMBERLAKE WAY, STE 211
SACRAMENTO, CA 95823
Optometrist
8120 TIMBERLAKE WAY, STE 211
SACRAMENTO, CA 95823
Family Medicine
8120 TIMBERLAKE WAY, #207
SACRAMENTO, CA 95823
Orthopaedic Surgery (Orthopaedic Trauma)
8120 TIMBERLAKE WAY, SUITE 201
SACRAMENTO, CA 95823
Obstetrics & Gynecology
8120 TIMBERLAKE WAY, SUITE 208
SACRAMENTO, CA 95823
Family Medicine
8120 TIMBERLAKE WAY, STE. 207
SACRAMENTO, CA 95823
Obstetrics & Gynecology
8120 TIMBERLAKE WAY
SACRAMENTO, CA 95823
Hospitalist
8120 TIMBERLAKE WAY
SACRAMENTO, CA 95823
Ophthalmology
8120 TIMBERLAKE WAY, SUITE 211
SACRAMENTO, CA 95823
Internal Medicine
8120 TIMBERLAKE WAY
SACRAMENTO, CA 95823
Nurse Practitioner
8120 TIMBERLAKE WAY, STE 101
SACRAMENTO, CA 95823
Surgery
8120 TIMBERLAKE WAY, SUITE 109
SACRAMENTO, CA 95823
Obstetrics & Gynecology
8120 TIMBERLAKE WAY
SACRAMENTO, CA 95823
Internal Medicine (Gastroenterology)
8120 TIMBERLAKE WAY, STE 101
SACRAMENTO, CA 95823
Ophthalmology
8120 TIMBERLAKE WAY, SUITE 211
SACRAMENTO, CA 95823
Orthopaedic Surgery
8120 TIMBERLAKE WAY, SUITE 112
SACRAMENTO, CA 95823
Internal Medicine
8120 TIMBERLAKE WAY
SACRAMENTO, CA 95823
Internal Medicine (Nephrology)
8120 TIMBERLAKE WAY
SACRAMENTO, CA 95823
Nurse Practitioner (Adult Health)
8120 TIMBERLAKE WAY, SUITE 107
SACRAMENTO, CA 95823
Orthopaedic Surgery
8120 TIMBERLAKE WAY, SUITE 112
SACRAMENTO, CA 95823

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174597819, enumerated as an "organization" on February 16, 2006.

The provider is located at 8120 TIMBERLAKE WAY STE 103 SACRAMENTO, CA 95823 and the phone number is (916) 423-2124.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.