Organization Active NPI

West Las Vegas Surgery Center,LLC

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1669585964
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WEST LAS VEGAS SURGERY CENTER,LLC
Practice address
1330 S Valley View Blvd
Las Vegas, NV 89102-1865
Phone
(702) 675-4600
Fax
(702) 675-4604
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Fay Dela Cruz, R.N.
Title
Administrator
Phone
(702) 675-4600

Specialties & licenses 1

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

Addresses

Primary practice location

1330 S Valley View Blvd
Las Vegas, NV 89102-1865

Mailing address

1330 S Valley View Blvd
Las Vegas, NV 89102-1865
Phone (702) 675-4600

Other identifiers 1

IdentifierTypeStateIssuer
100508300MedicaidNV

Other names 1

  • valley view surgery center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050407000892 NV Part B Supplier - Ambulatory Surgical Center 9537116850 Practice locations: Las Vegas, NV

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
West Las Vegas Surgery Center LLC Dba Valley View Surgery CenterCCN 29C0001025
Medicare certification status
Terminated Voluntary: merger or closure, Dec 31, 2012From the Provider of Services file

National Provider Directory

National Provider Directory

Member of 2

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

Locations

2020 Goldring Ave
Las Vegas, NV 89106
Phone (702) 477-7000

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1669585964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 S VALLEY VIEW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021865",
            "telephone_number": "702-675-4600",
            "fax_number": "702-675-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 S VALLEY VIEW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021865",
            "telephone_number": "702-675-4600",
            "fax_number": "702-675-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LAS VEGAS SURGERY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "FAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-675-4600",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508300",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "valley view surgery center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "valley view surgery center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.