Vegas Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VEGAS AMBULATORY SURGERY CENTER LLC

Practice address

5119 Camino Al Norte Ste 110
N Las Vegas, NV 89031-2373

Phone

(702) 625-2314

Fax

(504) 226-0661

NPI assigned

Sep 25, 2023

Organization subpart

No

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

Authorized official

Name

George Tan, MDNPI 1205071677

Title

Medical Director

Phone

(415) 439-3746

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Ambulatory surgical center certification: CCN 29C0001144

Legal name

VEGAS AMBULATORY SURGERY CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 23, 2025

Last certification

Apr 23, 2025

Facility address

5119 Camino Al Norte Ste 110
North Las Vegas, NV 89031

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• George Tan, M.D.

  • Gastroenterology Physician
  • North Las Vegas, NV
  • NPI 1205071677
  NPD Authorized official
• Ivy Ying Tan, FNP, DNP

  • Family Nurse Practitioner
  • North Las Vegas, NV
  • NPI 1982833281
  NPD

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1376322958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 CAMINO AL NORTE STE 110",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890312373",
            "telephone_number": "702-867-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5119 CAMINO AL NORTE STE 110",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890312373",
            "telephone_number": "702-625-2314",
            "fax_number": "504-226-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGAS AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-439-3746",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10960-ASC-0",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Valdovinos
• Tia Star Valentine
• Kelly E Van Wagner, M.D.
• William Vargas
• Michael Vathanasaynee, O.D.
• Mirian Lorena Velazquez Gutierrez
• Luis Alberto Velazquez, M.D.
• Grace Artigas Veluz
• Rhonda Vikmyhr
• Dolores Villafana

• Ambulatory Surgical Clinic/Center in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.