Organization Active NPI

Valley Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1083104186
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VALLEY SURGICAL CENTER LLC
Practice address
15601 N 28TH Ave Ste 101
Phoenix, AZ 85053-4061
Phone
(602) 863-6363
Fax
(602) 863-6611
NPI assigned
May 14, 2018
Last updated
Dec 27, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PHOENIX ORTHOPAEDIC SURGEONS, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Authorized official

Name
Cindy Meehan
Title
Administrator
Phone
(602) 863-6363

Specialties & licenses 1

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

Addresses

Primary practice location

15601 N 28TH Ave Ste 101
Phoenix, AZ 85053-4061

Mailing address

15601 N 28TH Ave Ste 101
Phoenix, AZ 85053-4061
Phone (602) 863-6363

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
03D2148389Valley Surgical Center15601 N 28TH Ave, Ste 101, Phoenix, AZ 85053Certificate of waiverMay 8, 2028

National Provider Directory

National Provider Directory
Part of
Phoenix Orthopedic Surgeons

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1083104186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15601 N 28TH AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534061",
            "telephone_number": "602-863-6363",
            "fax_number": "602-863-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15601 N 28TH AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534061",
            "telephone_number": "602-863-6363",
            "fax_number": "602-863-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SURGICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX ORTHOPAEDIC SURGEONS, LTD",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "MEEHAN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-863-6363"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.