ADVANCED AMBULATORY SURGERY CENTER ONE, LLC – NPI #1710509880
Clinic/Center

ADVANCED AMBULATORY SURGERY CENTER ONE, LLC is an AHC clinic located in SURPRISE, AZ. NPPES has assigned the NPI number 1710509880 to ADVANCED AMBULATORY SURGERY CENTER ONE, LLC on May 12, 2020. 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 May 02, 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 ADVANCED AMBULATORY SURGERY CENTER ONE, LLC below.

NPI Profile for
ADVANCED AMBULATORY SURGERY CENTER ONE, LLC

NPI Number
1710509880
Enumeration Date

(more than 6 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
ADVANCED AMBULATORY SURGERY CENTER ONE, LLC
Primary location
14753 W MOUNTAIN VIEW BLVD
SURPRISE, AZ 85374
Phone: (623) 243-9077 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JASON MUSSMAN
OWNER
Phone: (623) 251-6431
Updated
Certification Date
May 02, 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.