SUN VALLEY SURGERY CENTER, LLC (NPI# 1114266970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114266970 |
| Entity Type | Organization |
| Organization Name | SUN VALLEY SURGERY CENTER, LLC |
| Practice Address |
4090 N Mlk Blvd North Las Vegas NV 89032 |
| Mailing Address |
4090 N Mlk Blvd North Las Vegas NV 89032-3218 |
| Practice Telephone | 4253062579 |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2018-06-05 |
| Authorized Official Name | CHRISTIAN GARAYCOCHEA (OWNER, MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8013680468 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
4090 N MLK BLVD |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326209586 | Lubna A Anwar | Dentist | 4090 N Mlk Blvd, North Las Vegas, NV 89032-3218 | 2008-06-20 |
| 1073963385 | Nicholas Delisle | Dentist | 4090 N Mlk Blvd, North Las Vegas, NV 89032-3218 | 2016-06-17 |
| 1639329337 | Steven Eliot Delisle | Dentist | 4090 N Mlk Blvd, North Las Vegas, NV 89032-3218 | 2008-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| Find all providers in zip 89032 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811168933 | Anthem Asc Inc | Clinic/Center | 2517 E Lake Mead Blvd, North Las Vegas, NV 89030-6410 | 2008-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159228 | Comprehensive Surgical Care of Reno-tahoe, LLC | Clinic/Center | 5443 Kietzke Ln Ste 100, Reno, NV 89511-1088 | 2020-09-16 |
| 1538797485 | Nevada Rural Healthcare | Clinic/Center | 5785 S Fort Apache Rd Ste B-100, Las Vegas, NV 89148-5659 | 2020-03-27 |
| 1336772375 | Smith Plastic Surgery Building | Clinic/Center | 7650 W Sahara Ave, Las Vegas, NV 89117-2750 | 2020-02-18 |
| 1447800818 | Carson Tahoe Regional Healthcare | Clinic/Center | 973 Mica Dr Ste 102, Carson City, NV 89705-7257 | 2019-09-17 |
| 1457813107 | Surgeon's Surgery Center Sorelle Pllc | Clinic/Center | 6940 S Cimarron Rd Ste 100, Las Vegas, NV 89113-2135 | 2019-04-02 |
| 1619439379 | Cimarron Surgery Center Sorelle Pllc | Clinic/Center | 6940 S Cimarron Rd Ste 150, Las Vegas, NV 89113-2135 | 2019-04-02 |
| 1780140772 | Adios Estenosis LLC | Clinic/Center | 2450 Fire Mesa St Ste 100, Las Vegas, NV 89128-9001 | 2019-02-14 |
| 1760947717 | Advanced Orthopaedic Surgery Center, LLC | Clinic/Center | 7183 Advanced Way, Las Vegas, NV 89113-3624 | 2019-02-04 |
| 1821560434 | Sunset Pain Surgery Center | Clinic/Center | 9120 W Russell Rd Unit 100, Las Vegas, NV 89148-1229 | 2018-12-20 |
| 1215429030 | Medical and Dental Center of Nevada LLC | Clinic/Center | 4275 Burnham Ave Ste 101, Las Vegas, NV 89119-5400 | 2018-06-06 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89032 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.