Sacramento Advanced Laparoscopic Surgery
NPI 1316395395ActiveOrganization· Surgery· Thousand Oaks, CA
Surgery in Thousand Oaks, California, registered in NPPES in May 2016, part of Sacramento Advanced Laparoscopic Surgery. The authorized official on file is Donald Waldrep, MD, Md / Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316395395 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Sacramento Advanced Laparoscopic Surgery |
| NPI issued | May 31, 2016 |
| Last updated in NPPES | Mar 29, 2024 |
| Certified by provider | Mar 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | G75982 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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