Pasadena Surgery Center Inc. a Medical Corporation

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

930000957 Issued in CA

Legal business name

PASADENA SURGERY CENTER INC. A MEDICAL CORPORATION

Practice address

1035 S Fair Oaks Ave
Suite 101
Pasadena, CA 91105-2699

Phone

(626) 403-6488

Fax

(626) 403-6486

NPI assigned

Sep 14, 2006

Last updated

Jun 22, 2026By 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

Clayton Alexander VargaNPI 1629060694

Title

Ceo

Phone

(909) 493-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255436028. Details of each certification follow.

• CCN 050824 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 050824

Legal name

PASADENA SURGERY CENTER, INC

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Dec 18, 2020

Last certification

Dec 18, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

1035 South Fair Oaks Ave, Suite 101
Pasadena, CA 91105

Listed as

Pasadena Surgery Center Inc a Medical CorporationCCN 05C0001525

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 2

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
• Thomas J Takash, M.D.

  • Anesthesiology Physician
  • Pasadena, CA
  • NPI 1871577890
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1255436028",
    "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": "626-403-6488",
            "fax_number": "626-403-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S FAIR OAKS AVE",
            "address_2": "SUITE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052699",
            "telephone_number": "626-403-6488",
            "fax_number": "626-403-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA SURGERY CENTER INC. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "VARGA",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-493-3800"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "930000957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS LICENSE NUMBER",
            "identifier": "930000957",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pasadena Psychological Services, Inc.
• Pasadena Public Health Department.
• Pasadena Recovery Center
• Pasadena Senior Living Center LLC (Pasadena Adult Living Center)
• Pasadena Sleep Solutions Okamoto Dental Office PC
• Pasadena Surgery Center, LLC
• Pasadena Unified School District (PUSD Mental Health Services)
• Pasadena Unified School District
• Pasadena Unified School District
• Pasadena Unified School District Health Clinic

• Ambulatory Surgical Clinic/Center in Pasadena, CA
• Providers in Pasadena, 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 Jun 22, 2026; 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.