EAST VALLEY ASC LLC – NPI #1265177992
Clinic/Center

EAST VALLEY ASC LLC is an AHC clinic located in MESA, AZ. NPPES has assigned the NPI number 1265177992 to EAST VALLEY ASC LLC on April 27, 2022. 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 previously updated about 4 years ago on Aug 03, 2022. 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 EAST VALLEY ASC LLC below.

NPI Profile for
EAST VALLEY ASC LLC

NPI Number
1265177992
Enumeration Date

(more than 4 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
EAST VALLEY ASC LLC
Doing Business As (dba): EAST VALLEY ASC LLC
Primary location
4838 E BASELINE RD STE 108
MESA, AZ 85206-4672
Phone: (480) 450-6069 Fax:
Mailing address
4838 E BASELINE RD STE 105
MESA, AZ 85206-4672
Phone: Fax:
Organization Subpart
No
Authorized Official
TINA CHERRO
CEO
Phone: (480) 450-6069
Updated
Certification Date
Aug 03, 2022

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.

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
eastvalleyasc.com
Endpoint type
Other URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
4838 E BASELINE RD STE 105,
MESA, AZ 77025-1669