GRANITE BAY SURGERY CENTER, LLC – NPI #1245774611
Clinic/Center

GRANITE BAY SURGERY CENTER, LLC is an AHC clinic located in ROSEVILLE, CA. NPPES has assigned the NPI number 1245774611 to GRANITE BAY SURGERY CENTER, LLC on December 05, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 8 years ago on Aug 28, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRANITE BAY SURGERY CENTER, LLC below.

NPI Profile for
GRANITE BAY SURGERY CENTER, LLC

NPI Number
1245774611
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRANITE BAY SURGERY CENTER, LLC
Primary location
8723 SIERRA COLLEGE BLVD #1
ROSEVILLE, CA 95661
Phone: (916) 773-5559 Fax:
Mailing address
8723 SIERRA COLLEGE BLVD. BUILDING 1.
GRANITE BAY, CA 95746
Phone: Fax:
Organization Subpart
No
Authorized Official
JOSEPH COSCIA
PARTNER
Phone: (916) 929-1833
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.