NORTHERN CALIFORNIA SPECIALTY SURGICAL CENTER
NPI 1255964763
Clinic/Center - Ambulatory Fertility Facility in Sacramento, CA

NPI Status: Active since February 13, 2020

Contact Information

4320 AUBURN BLVD
SACRAMENTO, CA
ZIP 95841
Phone: (916) 773-2229
Fax: (916) 773-8391

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  • Organization
  • Clinic/Center
  • Ambulatory Fertility Facility
  • CLIA Number: 05D0856065
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-12-2025

About NORTHERN CALIFORNIA SPECIALTY SURGICAL CENTER

This page provides the complete NPI Profile along with additional information for Northern California Specialty Surgical Center, a provider established in Sacramento, California operating as a Clinic/center, focusing in ambulatory fertility facility . The healthcare provider is registered in the NPI registry with number 1255964763 assigned on February 2020. The practitioner's primary taxonomy code is 261QA0006X. The provider is registered as an organization and their NPI record was last updated January 2026. The authorized official of this NPI record is Denise Koenes (Executive Director)

NPI
1255964763
Provider Name
NORTHERN CALIFORNIA SPECIALTY SURGICAL CENTER
Entity Type
Organization
Location Address
4320 AUBURN BLVD SACRAMENTO, CA 95841
Location Phone
(916) 773-2229
Location Fax
(916) 773-8391
Mailing Address
4320 AUBURN BLVD SACRAMENTO, CA 95841
Mailing Phone
(916) 773-2229
Mailing Fax
(916) 773-8391
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-13-2020
Last Update Date
01-16-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Fertility Facility

Taxonomy Code
261QA0006X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DENISE KOENES

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(916) 773-2229

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
05D0856065
Facility Type
Physician Office
Certificate Effective Date
November 13, 2023
Certificate Expiration Date
November 12, 2025
Laboratory Director
MICHAEL J. MURRAY MD
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Northern California Specialty Surgical Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255964763, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 9 → 18 → 9 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 1 + 8 + 6 + 8 + 7 + 1 + 2 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1255964763.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Marriage & Family Therapist
4320 AUBURN BLVD, SUITE 1200
SACRAMENTO, CA 95841
Social Worker (Clinical)
4320 AUBURN BLVD, SUITE 1200
SACRAMENTO, CA 95841
Social Worker
4320 AUBURN BLVD, 1200
SACRAMENTO, CA 95841
Counselor (Mental Health)
4320 AUBURN BLVD, SUITE 1200
SACRAMENTO, CA 95841
Case Manager/Care Coordinator
4320 AUBURN BLVD, SUITE 1200
SACRAMENTO, CA 95841
Specialist
4320 AUBURN BLVD
SACRAMENTO, CA 95841
Obstetrics & Gynecology (Reproductive Endocrinology)
4320 AUBURN BLVD
SACRAMENTO, CA 95841
Obstetrics & Gynecology (Reproductive Endocrinology)
4320 AUBURN BLVD
SACRAMENTO, CA 95841

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255964763, enumerated as an "organization" on February 13, 2020.

The provider is located at 4320 AUBURN BLVD SACRAMENTO, CA 95841 and the phone number is (916) 773-2229.

Clinic/Center with taxonomy code 261QA0006X and a focus in Ambulatory Fertility Facility.