Summit Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SUMMIT SURGICAL CENTER LLC

Practice address

3820 S Hualapai Way Ste 100
Las Vegas, NV 89147-5733

Phone

(702) 788-9154

Fax

(702) 788-9154

NPI assigned

Apr 18, 2025

Organization subpart

No

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

Authorized official

Name

Stephanie Holmstrom

Title

Administrator

Phone

(702) 803-2750

Specialties & licenses 1

Addresses

Other names 1

• Rock Springs Surgical Center LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Ambulatory surgical center certification: CCN 29C0001153

Legal name

SUMMIT SURGICAL CENTER LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jan 9, 2026

Last certification

Dec 3, 2025

Facility address

3820 S Hualapai Way Suite 100
Las Vegas, NV 89147

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• My Linh Jennifer Tran, MD

  • Anesthesiology Physician
  • N Las Vegas, NV
  • NPI 1427290162
  NPD

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1942096482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 S HUALAPAI WAY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475733",
            "telephone_number": "702-803-2750",
            "fax_number": "702-788-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 S HUALAPAI WAY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475733",
            "telephone_number": "702-788-9154",
            "fax_number": "702-788-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "HOLMSTROM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-803-2750"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Springs Surgical Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Rock Springs Surgical Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Summit Medical Holdings LLC
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• Summit Specialty Physicians Inc
• Summit Wellness of DPSW LLC
• Summit Wound Healing LLC
• Shalysha Summit
• Deandre Lamont Summlin
• Sun City Foot Care

• Ambulatory Surgical Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.