CREEKSIDE SURGERY SUITE – NPI #1326374844
Clinic/Center

CREEKSIDE SURGERY SUITE is an AHC clinic located in FOLSOM, CA. NPPES has assigned the NPI number 1326374844 to CREEKSIDE SURGERY SUITE on October 19, 2009. 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

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 CREEKSIDE SURGERY SUITE below.

NPI Profile for
CREEKSIDE SURGERY SUITE

NPI Number
1326374844
Enumeration Date

(more than 16 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
CREEKSIDE SURGERY SUITE
Primary location
1561 CREEKSIDE DR
SUITE 110
FOLSOM, CA 95630-3492
Phone: (916) 984-1600 Fax: (916) 984-1616
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHAHRIAR MABOURAKH
MEDICAL DIRECTOR
Phone: (916) 984-1600
Updated
Identifiers

Identifiers for CREEKSIDE SURGERY SUITE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERIMQ IDENTIFICATION NUMBERCA10176
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 10176

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.