Organization Active NPI

Lux Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Temecula, CA
National Provider Identifier
1033958020
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LUX SURGERY CENTER, INC.
Practice address
27345 Jefferson Ave
Temecula, CA 92590-5601
Phone
(951) 699-9201
NPI assigned
May 21, 2024
Last updated
May 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Esther KimNPI 1740364280
Title
President
Phone
(951) 699-9201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

27345 Jefferson Ave
Temecula, CA 92590-5601

Mailing address

27345 Jefferson Ave
Temecula, CA 92590-5601

Other practice location 1

555 Cajon St Ste B
Redlands, CA 92373-5980
Phone (909) 555-5900

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
05D2179595Lux Surgery Center, Inc27345 Jefferson Avenue, Temecula, CA 92590Certificate of waiverFeb 25, 2028

National Provider Directory

National Provider Directory

Locations

27345 Jefferson Ave
Temecula, CA 92590
Phone (951) 699-9201

Practitioners & affiliated clinicians

Practitioners 3

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": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1033958020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27345 JEFFERSON AVE",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27345 JEFFERSON AVE",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905601",
            "telephone_number": "951-699-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Cajon St Ste B",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923735980",
            "country_code": "US",
            "telephone_number": "909-555-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUX SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-699-9201"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.