CREEKSIDE SURGERY SUITE
NPI 1326374844
Clinic/Center - Ambulatory Surgical in Folsom, CA

Active since October 19, 2009
1561 CREEKSIDE DR, SUITE 110, FOLSOM, CA 95630(916) 984-1600(916) 984-1616 Get Directions Write a Review

NPPES record last updated: October 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Creekside Surgery Suite NPPES

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

CREEKSIDE SURGERY SUITE (NPI 1326374844) is a healthcare organization registered as an ambulatory surgical in Folsom, California and active in the NPI registry since October 2009. The organization lists Shahriar Mabourakh, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1326374844
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCREEKSIDE SURGERY SUITE
Location Address1561 CREEKSIDE DR, SUITE 110Folsom, CA 95630-3492
Mailing Address1561 Creekside Dr, Suite 110Folsom, CA 95630-3492 · (916) 984-1600 · Fax (916) 984-1616
Fax(916) 984-1616
Organization SubpartNo
Authorized OfficialShahriar MabourakhMedical Director · (916) 984-1600
Enumeration DateOctober 19, 2009
NPI 1326374844 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 · 10176
1561 CREEKSIDE DR, Folsom, CA 95630

Other Identifiers 1

Other10176CA · Imq Identification Number

Other Providers at the Same Location NPPES 8

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

Physician Assistant
1561 CREEKSIDE DR
FOLSOM, CA 95630
Physician Assistant
1561 CREEKSIDE DR, #150
FOLSOM, CA 95630
Ophthalmology
1561 CREEKSIDE DR, SUITE 160
FOLSOM, CA 95630
Urology
1561 CREEKSIDE DR, SUITE 170
FOLSOM, CA 95630
Ophthalmology
1561 CREEKSIDE DR, #160
FOLSOM, CA 95630
Plastic Surgery
1561 CREEKSIDE DR, SUITE 110
FOLSOM, CA 95630
Clinic/Center (Health Service)
1561 CREEKSIDE DR, SUITE 140
FOLSOM, CA 95630
Urology
1561 CREEKSIDE DR, SUITE 170
FOLSOM, CA 95630

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 Creekside Surgery Suite's NPI number?

The NPI number for Creekside Surgery Suite is 1326374844. It was assigned to this organization in the NPPES registry on October 19, 2009.

Where is Creekside Surgery Suite located?

Creekside Surgery Suite is located at 1561 Creekside Dr Suite 110, Folsom, CA 95630. The listed phone number is (916) 984-1600.

What is Creekside Surgery Suite's specialty?

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

When was this NPI record last updated?

The NPPES record for Creekside Surgery Suite was last updated on October 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.