NPIMap

Organization Active NPI

Laser Surgery Holding Company, LTD

Doing business as Laser Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Chandler, AZ
National Provider Identifier
1285466037
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LASER SURGERY HOLDING COMPANY, LTD
Doing business as
Laser Surgery Center
Practice address
77 S Dobson Rd Ste 2
Chandler, AZ 85224-6290
Phone
(480) 444-7491
Fax
(480) 908-4079
NPI assigned
Aug 19, 2024
Last updated
Aug 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Velina Ruelas
Title
Administrator
Phone
(602) 908-0956

Specialties & licenses 1

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

Addresses

Primary practice location

77 S Dobson Rd Ste 2
Chandler, AZ 85224-6290

Mailing address

2228 W Northern Ave Ste B210
Phoenix, AZ 85021-9336
Phone (480) 444-7491

Other names 1

  • Laser Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250606000384 AZ Part B Supplier - Ambulatory Surgical Center 8628126950 Practice locations: Chandler, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285466037. Details of each certification follow.

Ambulatory surgical center certification: CCN 03C0001504

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
LASER SURGERY HOLDING COMPANY LTD
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Oct 6, 2025
Last certification
Oct 6, 2025
Facility address
77 South Dobson Road Suite 2
Chandler, AZ 85224

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Laser Surgery Holding Company LTD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1285466037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 W NORTHERN AVE STE B210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850219336",
            "telephone_number": "480-444-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S DOBSON RD STE 2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246290",
            "telephone_number": "480-444-7491",
            "fax_number": "480-908-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER SURGERY HOLDING COMPANY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "RUELAS",
        "authorized_official_first_name": "VELINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-908-0956"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laser Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.