NPIMap

Organization Active NPI

Avon Surgical Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Avondale, AZ
National Provider Identifier
1891536991
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AVON SURGICAL CENTERS, LLC
Practice address
10825 W McDowell Rd Ste 320
Avondale, AZ 85392-5228
Phone
(520) 278-5199
NPI assigned
Jun 3, 2024
Last updated
Jun 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Authorized official

Name
Clifford BakerNPI 1235342775
Title
Owner
Phone
(602) 435-5172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10825 W McDowell Rd Ste 320
Avondale, AZ 85392-5228

Mailing address

PO Box 5106
Sun City West, AZ 85376-5106
Phone (623) 777-4747

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241209003121 AZ Part B Supplier - Ambulatory Surgical Center 9739615139 Receives reassigned benefits from 10 practitioners
Practice locations: Avondale, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891536991. Details of each certification follow.

Ambulatory surgical center certification: CCN 03C0001502

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
AVON SURGICAL CENTERS, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
May 10, 2025
Last certification
May 9, 2025
Facility address
10825 West McDowell Road, Suite 320
Avondale, AZ 85392

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
03D2315460Avon Surgical Centers, LLC10825 W McDowell Rd Ste 320, Avondale, AZ 85392Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1891536991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5106",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853765106",
            "telephone_number": "623-777-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10825 W MCDOWELL RD STE 320",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925228",
            "telephone_number": "520-278-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON SURGICAL CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-435-5172"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.