Ukiah Surgery Center Lp
Ukiah Surgery Center Lp is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Ukiah, CA, holding Type 2 (organization) NPI 1568428456 since 2006. The authorized official on file is Kimberly Wood, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1568428456 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ukiah Surgery Center Lp |
| Practice address | 271 OBSERVATORY AVE, Ukiah, CA, 95482 |
| Phone | 7074672120 |
| Enumeration date | 2006-04-21 |
| Last updated in NPPES | 2007-08-31 |
Authorized official
| Name | Kimberly Wood |
|---|---|
| Title | Director |
| Phone | 8282363027 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | 0110000321 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SUR 01374 F | Medicaid | CA | — |
Copy-ready billing details
Provider: Ukiah Surgery Center Lp NPI: 1568428456 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 271 OBSERVATORY AVE, Ukiah, CA, 95482
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1578544516 | Samuel Thibodeaux | Individual | Certified Registered Nurse Anesthetist | Ukiah, CA |
| 1083944375 | Observatory Surgery Center LLC. | Organization | Ambulatory Surgical Clinic/Center | Ukiah, CA |
| 1205392925 | Travis Brakeman | Individual | Physical Therapist | Ukiah, CA |
| 1174083364 | Gregory Baer | Individual | Physical Therapy Assistant | Ukiah, CA |
| 1063094464 | Kip Atterbury | Individual | Physical Therapist | Ukiah, CA |
| 1619641826 | Luis Pastor | Individual | Physical Therapist | Ukiah, CA |
| 1952294761 | Casey Trent | Individual | Orthopedic Physical Therapist | Ukiah, CA |
Verify this record
Cross-check NPI 1568428456 against the authoritative CMS record: view Ukiah Surgery Center Lp on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Ukiah Surgery Center Lp?
Who is the authorized official for Ukiah Surgery Center Lp?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-08-31.