Sun Valley Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SUN VALLEY SURGERY CENTER, LLC

Practice address

4090 N MLK Blvd
North Las Vegas, NV 89032

Phone

(425) 306-2579

NPI assigned

Feb 13, 2013

Organization subpart

No

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

Authorized official

Name

Christian Garaycochea, M.D.NPI 1104942887

Title

Owner, Medical Director

Phone

(801) 368-0468

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Tax ID family

Steven Delisle PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Steven Delisle PLLC

  • Dental Clinic/Center
  • Las Vegas, NV
  • NPI 1568757896
  NPD tax ID

Locations

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.

• Christian Israel Garaycochea, MD

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1104942887
  Authorized official Same address or phone
• Stuart Allen Weichers, MD

  • Anesthesiology Physician
  • Henderson, NV
  • NPI 1285714170
  NPD (past)
• Sean Yim, DMD

  • General Practice Dentistry
  • N Las Vegas, NV
  • NPI 1568779486
  NPD (past)

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1114266970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 N MLK BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890323218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 N MLK BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "425-306-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "GARAYCOCHEA",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "801-368-0468",
        "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": []
}

• Summerlin Serenity P.L.L.C.
• Summit Health Group - Cheong PLLC (Summit Integrated Health Center)
• Summit Integrated Health of NLV (Summit Integrated Health of Nevada)
• Summit Integrated Health of NLV
• Ronald Edward Sumner
• Sunridge Enterprise Inc. (Sunridge of Nevada)
• Sunrise Mountain View Hospital, Inc. (MountainView Hospital and Medical Center - ER at Aliante)
• Mark Suntay, PHARM.D
• Chao Suo
• Superior Emergency Physicians Harris, PLLC

• Ambulatory Surgical Clinic/Center in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.