DONALD WALDREP, MD
NPI 1316395395
Surgery in Thousand Oaks, CA

Q: What is Sacramento Advanced Laparoscopic Surgery's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since May 31, 2016

110 JENSEN CT, SUITE 1B, THOUSAND OAKS, CA 91360(805) 230-0030(805) 230-2995 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Donald Waldrep, Md NPPES

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

DONALD WALDREP, MD (NPI 1316395395) is a healthcare organization registered as a surgery in Thousand Oaks, California and active in the NPI registry since May 2016. The organization lists Donald Waldrep, Md / Ceo, as its authorized official.

NPPES Registry Identity

NPI1316395395

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameSACRAMENTO ADVANCED LAPAROSCOPIC SURGERY

Location Address110 JENSEN CT, SUITE 1BThousand Oaks, CA 91360-7483

Mailing Address110 Jensen Ct, Suite 1bThousand Oaks, CA 91360-7483 · (805) 230-0030 · Fax (805) 230-2995

Phone(805) 230-0030

Fax(805) 230-2995

Organization SubpartYes

Authorized OfficialDonald WaldrepMd / Ceo · (805) 230-0030

Enumeration DateMay 31, 2016

Last NPPES UpdateMarch 29, 2024

NPPES CertifiedMarch 11, 2024

✔ NPI 1316395395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · G75982

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

110 JENSEN CT, Thousand Oaks, CA 91360

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Other Names 1

Doing Business AsDonald Waldrep, Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald Waldrep, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Donald Waldrep, MD, which bills Medicare for the services this clinician delivers.

Clinician (1)

Donald Waldrep, M.D.

General Surgery

NPI 1679630446

110 JENSEN CT SUITE 1B
Thousand Oaks, CA 91360

(805) 230-0030

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sacramento Advanced Laparoscopic Surgery's NPI number?

The NPI number for Sacramento Advanced Laparoscopic Surgery is 1316395395. It was assigned to this organization in the NPPES registry on May 31, 2016. The provider is doing business as Donald Waldrep, MD.

Where is Sacramento Advanced Laparoscopic Surgery located?

Sacramento Advanced Laparoscopic Surgery is located at 110 Jensen Ct Suite 1B, Thousand Oaks, CA 91360. The listed phone number is (805) 230-0030.

What is Sacramento Advanced Laparoscopic Surgery's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sacramento Advanced Laparoscopic Surgery enrolled in Medicare?

Yes. Sacramento Advanced Laparoscopic Surgery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sacramento Advanced Laparoscopic Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Sacramento Advanced Laparoscopic Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sacramento Advanced Laparoscopic Surgery was last updated on March 29, 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.