MICHAEL J FAZIO, MD, SURGERY CENTER – NPI #1295739134
Clinic/Center

MICHAEL J FAZIO, MD, SURGERY CENTER is an AHC clinic located in SACRAMENTO, CA. NPPES has assigned the NPI number 1295739134 to MICHAEL J FAZIO, MD, SURGERY CENTER on June 09, 2005. 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 6 years ago on Aug 22, 2020. 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 MICHAEL J FAZIO, MD, SURGERY CENTER below.

NPI Profile for
MICHAEL J FAZIO, MD, SURGERY CENTER

NPI Number
1295739134
Enumeration Date

(more than 21 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
MICHAEL J FAZIO, MD, SURGERY CENTER
Primary location
2805 J ST
STE 100
SACRAMENTO, CA 95816-4307
Phone: (916) 492-1828 Fax: (916) 492-1834
Mailing address
FILE # 74529
PO BOX 60000
SAN FRANCISCO, CA 94160
Phone: (916) 492-1828 Fax: (916) 492-1834
Organization Subpart
No
Authorized Official
ANNETTE BUKOWIEC
MEDICAL BILLING REPRESENTATIVE
Phone: (916) 492-1828
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 CLN 670

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.