Active NPI
West Las Vegas Surgery Center,LLC
- Ambulatory Surgical Clinic/Center
- Las Vegas, NV
National Provider Identifier
1669585964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100508300 | Medicaid | NV |
Other names 1
- valley view surgery center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Medicare certification status
- Terminated Voluntary: merger or closure, Dec 31, 2012
National Provider Directory
National Provider DirectoryMember 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.
-
- Gastroenterology Physician
- Las Vegas, NV
- NPI 1336137603
-
- Neurological Surgery Physician
- Las Vegas, NV
- NPI 1164489480
-
- Geriatric Medicine (Internal Medicine) Physician
- Las Vegas, NV
- NPI 1144251075
-
- Gastroenterology Physician
- Las Vegas, NV
- NPI 1144450123
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1376516104
-
- Pain Medicine (Anesthesiology) Physician
- Henderson, NV
- NPI 1730169319
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.