Ambulatory Surgery Center of Yuma, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AMBULATORY SURGERY CENTER OF YUMA, LLC

Practice address

2261 S Avenue B
Yuma, AZ 85364-6103

Phone

(928) 343-2180

Fax

(928) 373-0754

NPI assigned

Mar 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen A Wallace, M.D.

Title

Authorized Signer

Phone

(928) 343-2180

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1083681100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27340",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850617340",
            "telephone_number": "602-943-9200",
            "fax_number": "602-216-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 S AVENUE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646103",
            "telephone_number": "928-343-2180",
            "fax_number": "928-373-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY SURGERY CENTER OF YUMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "928-343-2180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "697237",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia Lynn Amaral, RN
• Gabriella Aracely Amaya, OTR/L
• Amb Medical, PLC
• Jazmin Ambrocio, M.A. ED
• Kyna Ambrose, PMHNP-BC
• Amedisys Arizona, L.L.C.
• Amedisys Arizona, L.L.C.
• Amedisys Arizona, L.L.C.
• Amedisys Arizona, L.L.C.
• Zenorina L Amezaga

• Ambulatory Surgical Clinic/Center in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.