Organization Active NPI

Sahara Outpatient Surgery Center LTD

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1023071180
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
466ASC10 Issued in NV
Legal business name
SAHARA OUTPATIENT SURGERY CENTER LTD
Practice address
2401 Paseo del Prado
Las Vegas, NV 89102-4363
Phone
(702) 362-7874
Fax
(702) 362-3567
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
David McKnight
Title
VP/Cfo
Phone
(972) 789-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 466ASC10 NV Primary

Addresses

Primary practice location

2401 Paseo del Prado
Las Vegas, NV 89102-4363

Mailing address

2401 Paseo del Prado
Las Vegas, NV 89102-4363
Phone (702) 362-7874

Other identifiers 1

IdentifierTypeStateIssuer
004602860MedicaidNV

Other names 1

  • Sahara Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060329000302 NV Part B Supplier - Ambulatory Surgical Center 9739197070 Practice locations: Las Vegas, NV

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Sahara Outpatient Surgery Center LTDCCN 29C0001022
Medicare certification status
ActiveFrom the Provider of Services file

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
29D0974543Sahara Surgery Center2401 Paseo del Prado, Las Vegas, NV 89102Certificate of waiverJun 8, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1023071180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PASEO DEL PRADO",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024363",
            "telephone_number": "702-362-7874",
            "fax_number": "702-362-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PASEO DEL PRADO",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024363",
            "telephone_number": "702-362-7874",
            "fax_number": "702-362-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHARA OUTPATIENT SURGERY CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "466ASC10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004602860",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sahara Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.