San Bernardino Eye Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SAN BERNARDINO EYE SURGERY CENTER LLC

Doing business as

The Eye Surgery Center

Practice address

1900 E Washington St
Colton, CA 92324-4614

Phone

(909) 825-3425

Fax

(909) 825-6991

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Clifton Chad Bazhaw

Title

Chief Revenue Officer

Phone

(214) 893-0471

Specialties & licenses 1

Addresses

Other names 1

• The Eye Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

San Bernardino Eye Surgery Center LPCCN 05C0001096

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.

• Pacific Eye Institute, a Medical Group, Inc.

  • Ophthalmology Physician
  • Upland, CA
  • NPI 1962422709

  Member Of

  NPD member

Practitioners 3

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.

• Christopher L Blanton, MD

  • Ophthalmology Physician
  • Colton, CA
  • NPI 1336142892
  NPD
• Robert Neal Fabricant, M.D.

  • Ophthalmology Physician
  • Jupiter, FL
  • NPI 1881615466
  NPD (past)
• Laura Moreno, APRN

  • Family Nurse Practitioner
  • Edmond, OK
  • NPI 1982219697
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1487608071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244614",
            "telephone_number": "909-825-3425",
            "fax_number": "909-825-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244614",
            "telephone_number": "909-825-3425",
            "fax_number": "909-825-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BERNARDINO EYE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "BAZHAW",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "214-893-0471"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Samuel
• San Bernardino County (Arrowhead Regional Medical Center)
• San Bernardino County (Arrowhead Regional Medical Center)
• San Bernardino County Dept. of Behavioral Health
• San Bernardino County Public Health Dept.
• Nerly San Juan Cancinos
• Marinette San Juan
• Aland Antonio Sanchez Jr., DMD,DDS
• Amy Michelle Sanchez, BA
• Analisa Nicole Sanchez

• Ambulatory Surgical Clinic/Center in Colton, CA
• Providers in Colton, 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 May 28, 2026; 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.