SANTA ROSA SURGICAL SERVICES LLC
NPI 1497407894
Clinic/Center - Ambulatory Surgical in Santa Rosa, CA

Q: What is Santa Rosa Surgical Services LLC's NPI number?

The NPI number for Santa Rosa Surgical Services LLC is 1497407894. It was assigned to this organization in the NPPES registry on January 26, 2022.

Q: What is Santa Rosa Surgical Services LLC's specialty?

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

Active since January 26, 2022CLIA 05D2275213 · Waiver

1739 4TH ST, SANTA ROSA, CA 95404(707) 931-5599(707) 222-5099 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2022, Jan 26, 2022 (2 updates tracked since 2022).

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About Santa Rosa Surgical Services Llc NPPES

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

SANTA ROSA SURGICAL SERVICES LLC (NPI 1497407894) is a healthcare organization registered as an ambulatory surgical in Santa Rosa, California and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Eric Bruntlett, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497407894

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSANTA ROSA SURGICAL SERVICES LLC

Location Address1739 4TH STSanta Rosa, CA 95404-3601

Mailing Address1739 4th StSanta Rosa, CA 95404-3601 · (707) 931-5599

Phone(707) 931-5599

Fax(707) 222-5099

Organization SubpartNo

Authorized OfficialEric BruntlettAdministrator · (707) 495-9632

Enumeration DateJanuary 26, 2022

Last NPPES UpdateNovember 4, 20222 updates tracked since enumeration

NPPES CertifiedNovember 4, 2022

✔ NPI 1497407894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1739 4TH ST, Santa Rosa, CA 95404

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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 05D2275213

Santa Rosa Surgical Services LLC · Santa Rosa, CA

Active · expires Jan 17, 2027

CLIA Number05D2275213

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJanuary 18, 2025

Certificate Expiration DateJanuary 17, 2027

Laboratory DirectorJason Pope

Laboratory Phone(707) 931-5599

Laboratory LocationSanta Rosa Surgical Services LLC1739 4th St, Santa Rosa, CA 95404

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 21

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 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.

453 services211 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.

297 services116 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

146 services75 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

121 services58 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

102 services59 patients

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

101 services50 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

80 services51 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

80 services54 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

78 services51 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

54 services48 patients

Injection of anesthetic agent and/or steroid into upper neck and back of head nerve 64405

This procedure involves injecting a mix of anesthetic and/or steroid into nerves in the upper neck and back of the head. It helps relieve pain by reducing inflammation and numbing the area. It's a common treatment for headaches and neck pain.

52 services26 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin 0275T

This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.

50 services48 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

39 services27 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

37 services37 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

36 services21 patients

Destruction of peripheral nerve or branch 64640

Destruction of a peripheral nerve or branch is a procedure to treat nerve-related pain. It involves using heat, cold, or chemicals to damage or destroy the nerve, thereby blocking pain signals to the brain. This can provide long-term pain relief.

26 services16 patients

Fusion of pelvic joint using imaging guidance 27279

This procedure involves joining or "fusing" the pelvic joint to alleviate pain or stabilize the area. It's performed under imaging guidance, which helps the doctor visualize the area and ensure precise placement of medical tools. This can improve recovery and outcome.

25 services22 patients

Injection of anesthetic agent and/or steroid into suprascapular shoulder nerve 64418

This is a procedure where a medicine, often a mix of a numbing agent and a steroid, is injected into the suprascapular nerve in your shoulder. It's usually done to help manage shoulder pain, decrease inflammation, and improve mobility.

23 services18 patients

Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance 64454

This procedure involves injecting anesthetic and/or steroid medication into a knee nerve branch. Imaging technology is used to ensure accurate placement of the needle. This can help reduce pain and inflammation in the knee area.

18 services15 patients

Removal or revision of spinal neurostimulator generator or receiver 63688

The procedure involves the removal or revision of a neurostimulator generator or receiver, a device implanted under the skin to send electrical pulses to the brain or spinal cord. This helps manage chronic pain or neurological disorders. The procedure might be needed if the device malfunctions, or to replace its battery.

16 services16 patients

Injection of trigger points, 1-2 muscles 20552

Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.

14 services13 patients

Other Providers at the Same Location NPPES

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

ADVANCED SURGERY INSTITUTE, LLC

Clinic/Center (Ambulatory Surgical)

1739 4TH ST
SANTA ROSA, CA 95404

Sonoma County (707) 396-0138

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 Surgical Services LLC's NPI number?

The NPI number for Santa Rosa Surgical Services LLC is 1497407894. It was assigned to this organization in the NPPES registry on January 26, 2022.

Where is Santa Rosa Surgical Services LLC located?

Santa Rosa Surgical Services LLC is located at 1739 4th St, Santa Rosa, CA 95404. The listed phone number is (707) 931-5599.

What is Santa Rosa Surgical Services LLC's specialty?

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

Does Santa Rosa Surgical Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2275213) is associated with this NPI, valid through January 17, 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 Surgical Services LLC was last updated on November 4, 2022. 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.