Canyon Surgical Specialists Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CANYON SURGICAL SPECIALISTS CENTER LLC

Practice address

9250 W Thomas Rd Ste 220
Phoenix, AZ 85037-3382

Phone

(623) 232-8787

NPI assigned

May 27, 2025

Organization subpart

No

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

Authorized official

Name

Marc Soloman

Title

Authorized Official

Phone

(623) 232-8787

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1548053150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 W MONTANA DE ORO DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 W THOMAS RD STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373382",
            "telephone_number": "623-232-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON SURGICAL SPECIALISTS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "SOLOMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "623-232-8787"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canyon Pathology Group LTD
• Canyon Physicians II
• Canyon Repose LLC
• Canyon Sleep Neurology and Wellness Group, LLC
• Canyon Social Services
• Canyon Vista Dentistry and Orthodontics,LLP
• Qing J Cao, MD
• Gejia A Capasso, LPC
• Caleb Capellen
• Justin Capello, M.A, LBA

• Ambulatory Surgical Clinic/Center in Phoenix, AZ
• Providers in Phoenix, 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 May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.