DELTA SHORES SURGERY CENTER LLC – NPI #1457232266
Clinic/Center

DELTA SHORES SURGERY CENTER LLC is an AHC clinic located in STOCKTON, CA. NPPES has assigned the NPI number 1457232266 to DELTA SHORES SURGERY CENTER LLC on September 09, 2025. 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

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 DELTA SHORES SURGERY CENTER LLC below.

NPI Profile for
DELTA SHORES SURGERY CENTER LLC

NPI Number
1457232266
Enumeration Date

(about 9 months 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
DELTA SHORES SURGERY CENTER LLC
Primary location
1805 N CALIFORNIA ST STE 405
STOCKTON, CA 95204-6033
Phone: (818) 855-1507 Fax:
Mailing address
425 15TH ST UNIT 3195
MANHATTAN BEACH, CA 90266-7316
Phone: (818) 855-1507 Fax:
Organization Subpart
No
Authorized Official
ANDREW VARGAS
MEDICAL DIRECTOR
Phone: (818) 855-1507
Updated
Certification Date
Sep 09, 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.