Organization Active NPI

Mid Valley Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Ontario, CA
National Provider Identifier
1992022297
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MID VALLEY SURGERY CENTER LLC
Practice address
4682 Ontario Mills Pkwy
Ontario, CA 91764-5104
Phone
(909) 204-3540
Fax
(909) 989-3007
NPI assigned
Apr 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Dr. Clayton A Varga, M.DNPI 1629060694
Title
Manager
Phone
(626) 696-1400

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 Primary

Addresses

Primary practice location

4682 Ontario Mills Pkwy
Ontario, CA 91764-5104

Mailing address

10565 Civic Center Dr Ste 250
Rancho Cucamonga, CA 91730-3854
Phone (909) 204-3540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101020001110 CA Part B Supplier - Ambulatory Surgical Center 3678766896 Practice locations: Ontario, CA

Hospital certification: CCN 050844

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
MID VALLEY SURGERY CENTER
Certification status
Terminated Voluntary: merger or closure, May 11, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Mar 3, 2021
Last certification
Mar 3, 2021
Beds
1
Ownership / control type
Private (for profit)
Facility address
4682 Ontario Mills Parkway
Ontario, CA 91764

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Mid Valley Surgery Center IncCCN 05C0001950
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
05D2012132Mid Valley Surgery Center, LLC4682 Ontario Mills Parkway, Ontario, CA 91764Certificate of waiverAug 29, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1992022297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10565 CIVIC CENTER DR STE 250",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303854",
            "telephone_number": "909-204-3540",
            "fax_number": "909-989-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4682 ONTARIO MILLS PKWY",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645104",
            "telephone_number": "909-204-3540",
            "fax_number": "909-989-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VALLEY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "VARGA",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-696-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.