SHADELANDS SURGERY CENTER, LLC
NPI 1710012869
Clinic/Center - Ambulatory Surgical in Walnut Creek, CA

Active since February 22, 2007
100 N WIGET LN, SUITE #110, WALNUT CREEK, CA 94598(925) 933-7100 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shadelands Surgery Center, Llc NPPES

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

SHADELANDS SURGERY CENTER, LLC (NPI 1710012869) is a healthcare organization registered as an ambulatory surgical in Walnut Creek, California and active in the NPI registry since February 2007. The organization lists Bradford True Prescott, Member, as its authorized official.

NPPES Registry Identity

NPI1710012869
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSHADELANDS SURGERY CENTER, LLC
Location Address100 N WIGET LN, SUITE #110Walnut Creek, CA 94598-5988
Mailing Address100 N Wiget Ln, Suite #110Walnut Creek, CA 94598-5988 · (925) 933-7100
Organization SubpartNo
Authorized OfficialBradford True PrescottMember · (925) 933-7100
Enumeration DateFebruary 22, 2007
Last NPPES UpdateAugust 27, 2008
NPI 1710012869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
100 N WIGET LN, Walnut Creek, CA 94598

Other Identifiers 1

Medicare PINZZZ05187ZCA

Other Providers at the Same Location NPPES 10

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

Urology
100 N WIGET LN, STE 290
WALNUT CREEK, CA 94598
Ophthalmology
100 N WIGET LN, SUITE 270
WALNUT CREEK, CA 94598
Physical Therapist (Sports)
100 N WIGET LN, STE 200
WALNUT CREEK, CA 94598
Neurological Surgery
100 N WIGET LN, SUITE 160
WALNUT CREEK, CA 94598
Plastic Surgery
100 N WIGET LN, SUITE #100
WALNUT CREEK, CA 94598
Plastic Surgery
100 N WIGET LN, STE 100
WALNUT CREEK, CA 94598
Psychologist (Clinical)
100 N WIGET LN
WALNUT CREEK, CA 94598
Ophthalmology
100 N WIGET LN, SUITE 270
WALNUT CREEK, CA 94598

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 Shadelands Surgery Center, LLC's NPI number?

The NPI number for Shadelands Surgery Center, LLC is 1710012869. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Shadelands Surgery Center, LLC located?

Shadelands Surgery Center, LLC is located at 100 N Wiget Ln Suite #110, Walnut Creek, CA 94598. The listed phone number is (925) 933-7100.

What is Shadelands Surgery Center, LLC'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 Shadelands Surgery Center, LLC was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.