AZUSA SURGERY CENTER LLC – NPI #1114043858
Clinic/Center

AZUSA SURGERY CENTER LLC is an AHC clinic located in AZUSA, CA. NPPES has assigned the NPI number 1114043858 to AZUSA SURGERY CENTER LLC on March 22, 2007. 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

The NPI profile was last updated on Mar 17, 2025. 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 AZUSA SURGERY CENTER LLC below.

NPI Profile for
AZUSA SURGERY CENTER LLC

NPI Number
1114043858
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
AZUSA SURGERY CENTER LLC
Primary location
830 S. CITRUS AVE
SUITE 101
AZUSA, CA 91702
Phone: (626) 543-1560 Fax:
Mailing address
10565 CIVIC CENTER DR STE 250
RANCHO CUCAMONGA, CA 91730-3854
Phone: (626) 543-1560 Fax: (626) 974-6900
Organization Subpart
No
Authorized Official
CLAYTON VARGA
CEO
Phone: (626) 696-1400
Updated
Certification Date
Mar 17, 2025

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.

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)

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.