4th Street Laser & Surgery Center INC
About this NPIWhat this record shows.
NPI 1902964174 is registered to 4th Street Laser & Surgery Center INC, a healthcare organisation classified as "Ambulatory Surgical Clinic/Center" and located at 1720 4th St in Santa Rosa, California. The organisation's authorised official is Elayne Clark. The organisation has been enumerated in the NPI registry since 2006.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
Other
- 110000344CA· Issued by STATE OF CA LICENSE
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part B Supplier
- O20050509000719Ambulatory Surgical CenterCA
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans 4th Street Laser & Surgery Center INC accepts. To confirm in-network status with your specific health plan, contact 4th Street Laser & Surgery Center INC directly at (707) 546-8100.
Frequently asked
Yes. NPI 1902964174 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Ambulatory Surgical Clinic/Center is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (707) 546-8100.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. 4th Street Laser & Surgery Center INC is a Type-2 organisational NPI.