TRESANTI SURGICAL CENTER LLC – NPI #1801983556
Clinic/Center

TRESANTI SURGICAL CENTER LLC is an AHC clinic located in SAN RAMON, CA. NPPES has assigned the NPI number 1801983556 to TRESANTI SURGICAL CENTER LLC on October 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is TRESANTI MEDICAL CORPORATION. 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 last updated on Sep 13, 2024. 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 TRESANTI SURGICAL CENTER LLC below.

NPI Profile for
TRESANTI SURGICAL CENTER LLC

NPI Number
1801983556
Enumeration Date

(more than 19 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
TRESANTI SURGICAL CENTER LLC
Former Legal Business Name: TRESANTI MEDICAL CORPORATION
Primary location
5201 NORRIS CANYON ROAD
#100
SAN RAMON, CA 94583
Phone: (925) 973-0605 Fax: (925) 973-0653
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERIC BOON
AUTHORIZED OFFICIAL
Phone: (480) 567-0269
Updated
Certification Date
Sep 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for TRESANTI SURGICAL CENTER LLC

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
otherMEDICARE RAILROADCAP00069274
otherSTATE OF CA DEPT OF HEALTCA140000665
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 140000665

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669