Organization Active NPI

Prime Surgical Center of Mesa, LLC

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
National Provider Identifier
1396528709
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PRIME SURGICAL CENTER OF MESA, LLC
Practice address
6309 E Baywood Ave Ste 106
Mesa, AZ 85206-1726
Phone
(818) 937-9969
NPI assigned
Aug 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Amanda Leigh Gunthel
Title
Head of Operations/Administrator
Phone
(203) 451-8921

Specialties & licenses 1

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

Addresses

Primary practice location

6309 E Baywood Ave Ste 106
Mesa, AZ 85206-1726

Mailing address

6309 E Baywood Ave Ste 106
Mesa, AZ 85206-1726
Phone (203) 451-8921

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
03D2290335Prime Surgical Center of Mesa6309 E Baywood Ave Ste 106, Mesa, AZ 85206Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory

Locations

6309 E Baywood Ave
Ste 106
Mesa, AZ 85206

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1396528709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 E BAYWOOD AVE STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061726",
            "telephone_number": "203-451-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 E BAYWOOD AVE STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061726",
            "telephone_number": "818-937-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SURGICAL CENTER OF MESA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "GUNTHEL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "HEAD OF OPERATIONS/ADMINISTRATOR",
        "authorized_official_telephone_number": "203-451-8921"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.