Organization Active NPI

Oa West Valley Surgical Partners LLC

  • Ambulatory Surgical Clinic/Center
  • Glendale, AZ
National Provider Identifier
1255265195
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OA WEST VALLEY SURGICAL PARTNERS LLC
Practice address
9070 W Glendale Ave Ste 110
Glendale, AZ 85305-1120
Phone
(623) 266-7788
Fax
(623) 321-9517
NPI assigned
Jun 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Jay McKim
Title
Evp Chief Financial Officer
Phone
(949) 680-3443

Specialties & licenses 1

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

Addresses

Primary practice location

9070 W Glendale Ave Ste 110
Glendale, AZ 85305-1120

Mailing address

9070 W Glendale Ave Ste 110
Glendale, AZ 85305-1120

Other names 1

  • OrthoArizona Glendale Surgery Ctr Doing business as

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
03D2345643Orthoarizona Glendale Surgery Center9070 W Glendale Ave Ste 110, Glendale, AZ 85305Certificate of waiverJun 14, 2028

National Provider Directory

National Provider Directory

Locations

9070 W Glendale Ave
Ste 110
Glendale, AZ 85305

NPI Registry JSON

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1255265195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 W GLENDALE AVE STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853051120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 W GLENDALE AVE STE 110",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853051120",
            "telephone_number": "623-266-7788",
            "fax_number": "623-321-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OA WEST VALLEY SURGICAL PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "MCKIM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "EVP CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "949-680-3443"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoArizona Glendale Surgery Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.