East Valley Ambulatory Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EAST VALLEY AMBULATORY SURGICAL CENTER, LLC

Practice address

2394 N Alma School Rd Ste 1
Chandler, AZ 85224-2459

Phone

(480) 963-0700

Fax

(480) 776-5737

NPI assigned

Mar 30, 2023

Last updated

Mar 30, 2023By 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

Jason Lohmeyer

Title

Chief Financial Officer

Phone

(847) 949-3855

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Listed as

East Valley Ambulatory Surgical Center LLCCCN 03C0001477

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Desert Kidney Associates PLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1144372905

  Member Of

  NPD member

Practitioners 4

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.

• Dilip K Bobra, M.D.

  • Vascular Surgery Physician
  • Tempe, AZ
  • NPI 1013099738
  Medicare reassignment NPD
• Arvind Durvasan

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1417038548
  Medicare reassignment NPD
• Nachiket Patel, M.D.

  • Interventional Cardiology Physician
  • Mesa, AZ
  • NPI 1528377090
  Medicare reassignment NPD
• Thaslim Ahamed Kassim, MD

  • Cardiovascular Disease Physician
  • Kalamazoo, MI
  • NPI 1518116680

  AZ

  Medicare reassignment NPD

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1346944428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARKWAY NORTH BLVD STE 200S",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152534",
            "telephone_number": "847-949-3855",
            "fax_number": "833-739-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2394 N ALMA SCHOOL RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242459",
            "telephone_number": "480-963-0700",
            "fax_number": "480-776-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY AMBULATORY SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "LOHMEYER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "847-949-3855"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Dyson, BCBA
• Dziduch Medical, PLLC
• E-Nah Solutions, LLC
• Bethany L Early, PT, DPT
• East Riggs Dental LLC (Canyon State Dental)
• East Valley Anesthesia, LLC
• East Valley Behavioral Health, LLC
• East Valley Cardiology, LTD (East Valley Cardiology)
• East Valley Counseling Company
• East Valley Dermatology Center

• Ambulatory Surgical Clinic/Center in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.