Azusa Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AZUSA SURGERY CENTER LLC

Practice address

830 S. Citrus Ave
Suite 101
Azusa, CA 91702

Phone

(626) 543-1560

NPI assigned

Mar 22, 2007

Last updated

Mar 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clayton A Varga, M.DNPI 1629060694

Title

Ceo

Phone

(626) 696-1400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114043858. Details of each certification follow.

• CCN 050823 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 050823

Legal name

AZUSA SURGERY CENTER, LLC

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Nov 24, 2020

Last certification

Nov 24, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

830 South Citrus Avenue, Suite 101
Azusa, CA 91702

Listed as

Azusa Surgery Center LLCCCN 05C0001792

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 1

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.

• Clayton Alexander Varga, MD

  • Pain Medicine (Anesthesiology) Physician
  • San Diego, CA
  • NPI 1629060694
  NPD (past) Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1114043858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10565 CIVIC CENTER DR STE 250",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303854",
            "telephone_number": "626-543-1560",
            "fax_number": "626-974-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S. CITRUS AVE",
            "address_2": "SUITE 101",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "91702",
            "telephone_number": "626-543-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZUSA SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "VARGA",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-696-1400",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Azusa Medical Pharmacy
• Azusa Modern Dentistry, Inc
• Azusa Pacific University
• Azusa Pacific University
• Azusa Physical Therapy Associates
• Azusa Unified School District
• Alisa Badryan
• Melannie L Baedor, RDN
• Rocio Mora Baena, R. EEG., CNIM
• Bhupinder Bains, M.D

• Ambulatory Surgical Clinic/Center in Azusa, CA
• Providers in Azusa, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.