Organization Active NPI

Advanced Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Redlands, CA
National Provider Identifier
1881690949
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
550000011 Issued in CA
Legal business name
ADVANCED AMBULATORY SURGERY CENTER, LLC
Practice address
1901 W Lugonia Ave Ste 100
Redlands, CA 92374-9704
Phone
(909) 557-1700
Fax
(909) 557-1730
NPI assigned
Jun 23, 2005
Last updated
Dec 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Mrs. Suzanne Michelle Cunningham
Title
Administrator
Phone
(909) 560-5125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 550000011 CA Primary

Addresses

Primary practice location

1901 W Lugonia Ave Ste 100
Redlands, CA 92374-9704

Mailing address

PO Box 30538
Los Angeles, CA 90030-0538
Phone (909) 557-1704

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050121000868 CA Part B Supplier - Ambulatory Surgical Center 9335198829 Practice locations: Redlands, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881690949. Details of each certification follow.

Hospital certification: CCN 050809

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ADVANCED AMBULATORY SURGERY CENTER
Certification status
Terminated Voluntary: merger or closure, May 11, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Jul 13, 2020
Last certification
Jul 13, 2020
Beds
1
Ownership / control type
Private (for profit)
Facility address
1901 Lugonia Ave Suite 100
Redlands, CA 92374

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Advanced Ambulatory Surgery Center LPCCN 05C0001692
Medicare certification status
ActiveFrom the Provider of Services file

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
05D1035143Advanced Ambulatory Surgery Center1901 W Lugonia Ave Ste 100, Redlands, CA 92374Certificate of waiverDec 20, 2026

National Provider Directory

National Provider Directory

Locations

1901 W Lugonia Ave
Ste 100
Redlands, CA 92374
Phone (909) 557-1700

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1881690949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30538",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900300538",
            "telephone_number": "909-557-1704",
            "fax_number": "909-557-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W LUGONIA AVE STE 100",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923749704",
            "telephone_number": "909-557-1700",
            "fax_number": "909-557-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-560-5125",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "550000011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.