Active NPI
Mid Valley Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Ontario, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clayton A Varga, M.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
- 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 |
|---|---|---|---|
| 05D2012132 | Mid Valley Surgery Center, LLC | Certificate of waiver | Aug 29, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- San Diego, CA
- NPI 1629060694
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.