Active NPI
Advanced Ambulatory Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 550000011
- 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, 2025
- 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
- Mrs. Suzanne Michelle Cunningham
- Title
- Administrator
- Phone
- (909) 560-5125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LP
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1035143 | Advanced Ambulatory Surgery Center | Certificate of waiver | Dec 20, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1871532960
-
- Orthopaedic Surgery Physician
- Riverside, CA
- NPI 1477640001
-
- Orthopaedic Surgery of the Spine Physician
- Redlands, CA
- NPI 1811083553
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.