SANTA ROSA SURGERY AND ENDOSCOPY CENTER
NPI 1457317398
Clinic/Center - Ambulatory Surgical in Santa Rosa, CA

Active since April 20, 2006CLIA 05D0904143 · Waiver
34 MARK WEST SPRINGS RD SUITE 100, SANTA ROSA SURGERY AND ENDOSCOPY CENTER, SANTA ROSA, CA 95403(707) 541-3500 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Santa Rosa Surgery And Endoscopy Center NPPES

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

SANTA ROSA SURGERY AND ENDOSCOPY CENTER (NPI 1457317398) is a healthcare organization registered as an ambulatory surgical in Santa Rosa, California and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists Bradley Heaton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457317398
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSANTA ROSA SURGERY CENTER L P
Location Address34 MARK WEST SPRINGS RD SUITE 100, SANTA ROSA SURGERY AND ENDOSCOPY CENTERSanta Rosa, CA 95403-1436
Mailing Address34 Mark West Springs Rd Suite 100, Santa Rosa Surgery And Endoscopy CenterSanta Rosa, CA 95403-1436 · (707) 541-3500
Organization SubpartNo
Authorized OfficialBradley HeatonCeo · (916) 566-4907
Enumeration DateApril 20, 2006
Last NPPES UpdateMay 6, 2024
NPPES CertifiedMay 6, 2024
NPI 1457317398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
34 MARK WEST SPRINGS RD SUITE 100, Santa Rosa, CA 95403

Other Names 1

Doing Business AsSanta Rosa Surgery And Endoscopy Center

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 05D0904143

Santa Rosa Surgery Center, LP · Santa Rosa, CA
Active · expires Aug 8, 2027
CLIA Number05D0904143
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorDarin D. Brunson
Laboratory Phone(707) 541-3503
Laboratory LocationSanta Rosa Surgery Center, LP34 Mark West Springs Rd Ste 100, Santa Rosa, CA 95403
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 66

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.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
9,709 services42 patients
Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
5,692 services15 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.
437 services434 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.
381 services379 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
376 services198 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.
283 services272 patients

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 Santa Rosa Surgery Center L P's NPI number?

The NPI number for Santa Rosa Surgery Center L P is 1457317398. It was assigned to this organization in the NPPES registry on April 20, 2006. The provider is doing business as Santa Rosa Surgery And Endoscopy Center.

Where is Santa Rosa Surgery Center L P located?

Santa Rosa Surgery Center L P is located at 34 Mark West Springs Rd Suite 100 Santa Rosa Surgery And Endoscopy Center, Santa Rosa, CA 95403. The listed phone number is (707) 541-3500.

What is Santa Rosa Surgery Center L P's specialty?

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

Does Santa Rosa Surgery Center L P hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0904143) is associated with this NPI, valid through August 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Santa Rosa Surgery Center L P was last updated on May 6, 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.