ROSEVILLE SURGERY CENTER
NPI 1982672283
Clinic/Center - Ambulatory Surgical in Roseville, CA

Q: What is Roseville Surgery Center, LP's NPI number?

The NPI number for Roseville Surgery Center, LP is 1982672283. It was assigned to this organization in the NPPES registry on March 10, 2006. The provider is doing business as Roseville Surgery Center.

Q: What is Roseville Surgery Center, LP's specialty?

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

Active since March 10, 2006CLIA 05D0997895 · Waiver

1420 E ROSEVILLE PKWY, STE 100, ROSEVILLE, CA 95661(916) 677-2488(916) 677-2496 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 11, 2024, Apr 11, 2024, Dec 30, 2020 and 2 more (5 updates tracked since 2019).

On this page

About Roseville Surgery Center NPPES

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

ROSEVILLE SURGERY CENTER (NPI 1982672283) is a healthcare organization registered as an ambulatory surgical in Roseville, California and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Eric Boon, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1982672283

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameROSEVILLE SURGERY CENTER, LP

Location Address1420 E ROSEVILLE PKWY, STE 100Roseville, CA 95661-3078

Mailing Address14201 Dallas PkwyDallas, TX 75254-2916 · (916) 677-2488 · Fax (916) 677-2496

Phone(916) 677-2488

Fax(916) 677-2496

Organization SubpartNo

Authorized OfficialEric BoonOfficer/authorized Official · (480) 567-0269

Enumeration DateMarch 10, 2006

Last NPPES UpdateOctober 11, 20245 updates tracked since enumeration

NPPES CertifiedOctober 11, 2024

✔ NPI 1982672283 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 · 030000764

1420 E ROSEVILLE PKWY, Roseville, CA 95661

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Other Names 1

Doing Business AsRoseville Surgery Center

Other Identifiers 2

OtherP00366559CA · Railroad Medicare

MedicaidMEDI-CAL 05C0001572CA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roseville Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20070329000576Non-DME Part B · Ambulatory Surgical CenterDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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 05D0997895

Roseville Surgery Center, LP · Roseville, CA

Active · expires Mar 28, 2028

CLIA Number05D0997895

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 29, 2026

Certificate Expiration DateMarch 28, 2028

Laboratory DirectorBrian C. Joves MD

Laboratory Phone(916) 677-2488

Laboratory LocationRoseville Surgery Center, LP1420 E Roseville Parkway Suite 100, Roseville, CA 95661

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 18

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.

12,236 services55 patients

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.

414 services256 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

94 services56 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.

70 services37 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.

55 services41 patients

Creation of sling around urethra in female to control leakage 57288

This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.

45 services45 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.

35 services21 patients

Repair of bulging of rectum and bladder into vaginal wall 57265

This procedure involves correcting a condition where the rectum and bladder bulge into the vaginal wall, causing discomfort. The operation helps to restore these organs to their normal position, improving comfort and functionality.

32 services32 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.

31 services13 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.

26 services11 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

17 services17 patients

Shock wave crushing of kidney stones 50590

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

16 services16 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.

16 services16 patients

Repair of pelvic ligaments through vagina 57282

This procedure involves mending the supportive tissues in your lower body region, accessed via the birth canal. It helps enhance stability and alleviate discomfort. The process is performed under anesthesia, ensuring a pain-free experience.

15 services15 patients

Removal of both knee cartilages using an endoscope 29880

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

14 services14 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

13 services11 patients

Removal of uterus, tubes, and/or ovaries through vagina, 250.0 g or less 58262

This procedure involves the removal of certain internal parts through a natural body opening. It's done when these parts are causing health issues. The specific parts removed depend on your personal health situation. The procedure is safe and common.

13 services13 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

12 services12 patients

Other Providers at the Same Location NPPES 5

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

SHANE RAY PANTER DDS

Dentist (General Practice)

1420 E ROSEVILLE PKWY, #220
ROSEVILLE, CA 95661

Placer County (916) 773-1977

LINDSEY KNICOLE MILLER M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1420 E ROSEVILLE PKWY
ROSEVILLE, CA 95661

Placer County (605) 351-1963

TERRI COOK-PALACIOS

Registered Nurse (Case Management)

1420 E ROSEVILLE PKWY, 140-149
ROSEVILLE, CA 95661

Placer County (916) 280-4859

NICKY M HAKIMI DDS INC

Dentist (Periodontics)

1420 E ROSEVILLE PKWY, SUITE 230
ROSEVILLE, CA 95661

Placer County (916) 788-1114

DR. ASVIN VIDYACHARAN VASANTHAN DDS

Dentist (Periodontics)

1420 E ROSEVILLE PKWY, #230
ROSEVILLE, CA 95661

Placer County (916) 788-1114

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 Roseville Surgery Center, LP's NPI number?

The NPI number for Roseville Surgery Center, LP is 1982672283. It was assigned to this organization in the NPPES registry on March 10, 2006. The provider is doing business as Roseville Surgery Center.

Where is Roseville Surgery Center, LP located?

Roseville Surgery Center, LP is located at 1420 E Roseville Pkwy Ste 100, Roseville, CA 95661. The listed phone number is (916) 677-2488.

What is Roseville Surgery Center, LP's specialty?

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

Is Roseville Surgery Center, LP enrolled in Medicare?

Yes. Roseville Surgery Center, LP is registered in the Medicare PECOS enrollment system.

When is Roseville Surgery Center, LP's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulatory Surgical Center) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Roseville Surgery Center, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0997895) is associated with this NPI, valid through March 28, 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 Roseville Surgery Center, LP was last updated on October 11, 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.