SACRAMENTO PREMIER SURGERY CENTER LLC
NPI 1548085673
Clinic/Center - Ambulatory Surgical in Folsom, CA

Active since November 22, 2024CLIA 05D2316209 · Waiver
530 PLAZA DR STE 110, FOLSOM, CA 95630(818) 855-1507 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sacramento Premier Surgery Center Llc NPPES

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

SACRAMENTO PREMIER SURGERY CENTER LLC (NPI 1548085673) is a healthcare organization registered as an ambulatory surgical in Folsom, California and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Pelin Sen, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1548085673
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSACRAMENTO PREMIER SURGERY CENTER LLC
Location Address530 PLAZA DR STE 110Folsom, CA 95630-4782
Mailing Address425 15th St Unit 3195Manhattan Beach, CA 90266-7316 · (818) 855-1507
Organization SubpartNo
Authorized OfficialPelin SenChief Operating Officer · (818) 855-1507
Enumeration DateNovember 22, 2024
NPPES CertifiedNovember 22, 2024
NPI 1548085673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
530 PLAZA DR STE 110, Folsom, CA 95630

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 05D2316209

Sacramento Premier Surgery Center LLC · Folsom, CA
Active · expires Dec 29, 2026
CLIA Number05D2316209
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorAndrew Vargas
Laboratory Phone(818) 855-1507
Laboratory LocationSacramento Premier Surgery Center LLC530 Plaza Dr Ste 110, Folsom, CA 95630
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Physical Medicine & Rehabilitation (Pain Medicine)
530 PLAZA DR STE 110
FOLSOM, CA 95630
Chiropractor
530 PLAZA DR STE 110
FOLSOM, CA 95630
Orthopaedic Surgery
530 PLAZA DR STE 110
FOLSOM, CA 95630
Specialist
530 PLAZA DR STE 110
FOLSOM, CA 95630
Orthopaedic Surgery
530 PLAZA DR STE 110
FOLSOM, CA 95630
Clinic/Center (Ambulatory Surgical)
530 PLAZA DR STE 110
FOLSOM, CA 95630
Pain Medicine (Interventional Pain Medicine)
530 PLAZA DR STE 110
FOLSOM, CA 95630
Clinic/Center (Ambulatory Surgical)
530 PLAZA DR STE 110
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 Sacramento Premier Surgery Center LLC's NPI number?

The NPI number for Sacramento Premier Surgery Center LLC is 1548085673. It was assigned to this organization in the NPPES registry on November 22, 2024.

Where is Sacramento Premier Surgery Center LLC located?

Sacramento Premier Surgery Center LLC is located at 530 Plaza Dr Ste 110, Folsom, CA 95630. The listed phone number is (818) 855-1507.

What is Sacramento Premier Surgery Center LLC's specialty?

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

Does Sacramento Premier Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2316209) is associated with this NPI, valid through December 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sacramento Premier Surgery Center LLC was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.