SKYWAY SURGERY CENTER. LLC
NPI 1366456618
Clinic/Center - Ambulatory Surgical in Chico, CA

Active since July 29, 2006CLIA 05D1021263 · Waiver
121 RALEY BLVD, CHICO, CA 95928(530) 230-2000(530) 898-8142 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2023, Feb 10, 2021 (2 updates tracked since 2021).

About Skyway Surgery Center. Llc NPPES

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

SKYWAY SURGERY CENTER. LLC (NPI 1366456618) is a healthcare organization registered as an ambulatory surgical in Chico, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists Jennifer Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1366456618
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSKYWAY SURGERY CENTER. LLC
Location Address121 RALEY BLVDChico, CA 95928-8347
Mailing Address121 Raley BlvdChico, CA 95928-8347 · (530) 230-2000 · Fax (530) 898-8142
Fax(530) 898-8142
Organization SubpartNo
Authorized OfficialJennifer BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateJuly 29, 2006
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
NPI 1366456618 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 · 23000358
121 RALEY BLVD, Chico, CA 95928

Other Identifiers 2

MedicaidSUR01663FCA
Other23000358CA · State License

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 05D1021263

Skyway Surgery Center LLC · Chico, CA
Active · expires Jan 15, 2028
CLIA Number05D1021263
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorRaymond A. Yip MD
Laboratory Phone(530) 230-2000
Laboratory LocationSkyway Surgery Center LLC121 Raley Blvd, Chico, CA 95928
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
273 services174 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
183 services183 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
160 services160 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
135 services135 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
109 services109 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
100 services36 patients

Other Providers at the Same Location NPPES 7

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

Anesthesiology
121 RALEY BLVD
CHICO, CA 95928
Nurse Anesthetist, Certified Registered
121 RALEY BLVD
CHICO, CA 95928
Anesthesiology
121 RALEY BLVD
CHICO, CA 95928
Anesthesiology
121 RALEY BLVD
CHICO, CA 95928
Anesthesiology
121 RALEY BLVD
CHICO, CA 95928
Anesthesiology
121 RALEY BLVD
CHICO, CA 95928
Anesthesiology (Pain Medicine)
121 RALEY BLVD, SKYWAY SURGERY CENTER
CHICO, CA 95928

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 Skyway Surgery Center. LLC's NPI number?

The NPI number for Skyway Surgery Center. LLC is 1366456618. It was assigned to this organization in the NPPES registry on July 29, 2006.

Where is Skyway Surgery Center. LLC located?

Skyway Surgery Center. LLC is located at 121 Raley Blvd, Chico, CA 95928. The listed phone number is (530) 230-2000.

What is Skyway Surgery Center. LLC's specialty?

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

Does Skyway Surgery Center. LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1021263) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Skyway Surgery Center. LLC was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.