Organization Active NPI

United Surgery Center Carlsbad LLC

  • Ambulatory Surgical Clinic/Center
  • Carlsbad, CA
National Provider Identifier
1245080514
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
UNITED SURGERY CENTER CARLSBAD LLC
Practice address
6185 Paseo del Norte Ste 150
Carlsbad, CA 92011-1155
Phone
(951) 764-9396
Fax
(951) 691-1362
NPI assigned
Mar 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Kenneth Jones
Title
Director of Business Operations
Phone
(951) 764-9396

Specialties & licenses 1

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

Addresses

Primary practice location

6185 Paseo del Norte Ste 150
Carlsbad, CA 92011-1155

Mailing address

25150 Hancock Ave Ste 208
Murrieta, CA 92562-5989
Phone (951) 698-8805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240524000724 CA Part B Supplier - Ambulatory Surgical Center 0143662924 Practice locations: Carlsbad, CA

Ambulatory surgical center certification: CCN 55C0001210

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
United Surgery Center Carlsbad LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Oct 27, 2025
Last certification
Oct 10, 2025
Facility address
6185 Paseo del Norte
Carlsbad, CA 92011

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
05D2312125United Surgery Center Carlsbad LLC6185 Paseo del Norte Suite 150, Carlsbad, CA 92011Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1245080514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25150 HANCOCK AVE STE 208",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625989",
            "telephone_number": "951-698-8805",
            "fax_number": "951-691-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6185 PASEO DEL NORTE STE 150",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111155",
            "telephone_number": "951-764-9396",
            "fax_number": "951-691-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SURGERY CENTER CARLSBAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "951-764-9396"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.