NPIMap

Organization Active NPI

Pearl Surgery Center PLLC

  • Ambulatory Surgical Clinic/Center
  • North Las Vegas, NV
National Provider Identifier
1013617141
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PEARL SURGERY CENTER PLLC
Practice address
5191 Camino Al Norte
North Las Vegas, NV 89031-2409
Phone
(213) 465-0994
NPI assigned
Mar 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sara J Szabatura, RN
Title
Administrator
Phone
(310) 994-2408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

5191 Camino Al Norte
North Las Vegas, NV 89031-2409

Mailing address

PO Box 252039
Los Angeles, CA 90025-8928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230824002434 NV Part B Supplier - Ambulatory Surgical Center 4587027453 Practice locations: North Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013617141. Details of each certification follow.

Ambulatory surgical center certification: CCN 29C0001145

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PEARL SURGERY CENTER
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Apr 4, 2025
Last certification
Mar 13, 2025
Facility address
5191 Camino Al Norte Suite a
North Las Vegas, NV 89031

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2285577Pearl Surgery Center5191 Camino Al Norte, Suite a, North Las Vegas, NV 89031Certificate of waiverJul 13, 2027

National Provider Directory

National Provider Directory

Locations

5191 Camino Al Norte
North Las Vegas, NV 89031

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1013617141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252039",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900258928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5191 CAMINO AL NORTE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312409",
            "telephone_number": "213-465-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL SURGERY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "SZABATURA",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-994-2408",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.