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DEL MAR SURGERY CENTER
NPI 1023151974
Clinic/Center - Ambulatory Surgical in San Diego, CA

Active since February 14, 2007CLIA 05D0971701 · Waiver
11425 EL CAMINO REAL, SAN DIEGO, CA 92130(858) 794-6363(858) 794-6360 Get Directions Write a Review

NPPES record last updated: November 9, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Del Mar Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEL MAR SURGERY CENTER (NPI 1023151974) is a healthcare organization registered as an ambulatory surgical in San Diego, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists Louis Michael Kettel, Officer, as its authorized official.

NPPES Registry Identity

NPI1023151974
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameDEL MAR SURGERY CENTER
Location Address11425 EL CAMINO REALSan Diego, CA 92130
Mailing Address11425 El Camino RealSan Diego, CA 92130 · (858) 794-6363 · Fax (858) 794-6360
Phone(858) 794-6363
Fax(858) 794-6360
Organization SubpartNo
Authorized OfficialLouis Michael KettelOfficer · (858) 794-6363
Enumeration DateFebruary 14, 2007
Last NPPES UpdateNovember 9, 2018
✔ NPI 1023151974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedClinic/Center · Ambulatory Fertility FacilityTaxonomy 261QA0006X · License 080000649 (CA)
11425 EL CAMINO REAL, San Diego, CA 92130
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0971701

Del Mar Surgery Center · San Diego, CA
Active · expires Mar 19, 2028
CLIA Number05D0971701
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 20, 2026
Certificate Expiration DateMarch 19, 2028
Laboratory DirectorL M. Kettel MD
Laboratory Phone(858) 794-6364
Laboratory LocationDel Mar Surgery Center11425 El Camino Real Ste A, San Diego, CA 92130
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CASSANDRA GARVIN DNP, FNP-BC
Nurse Practitioner (Family)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
San Diego County (858) 794-6363
LAUREN PILAR BARTSCH NP
Nurse Practitioner (Family)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
San Diego County (858) 794-6363
LOUIS MICHAEL KETTEL MD
Obstetrics & Gynecology (Reproductive Endocrinology)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
San Diego County (858) 794-6363
BRYN WILLSON M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
San Diego County (587) 946-3638
YANBO JIANG FNP-C
Nurse Practitioner (Family)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
San Diego County (858) 794-6363
VALERIE A FLORES MD
Obstetrics & Gynecology (Reproductive Endocrinology)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
San Diego County (858) 461-6332
SAN DIEGO FERTILITY CENTER MEDICAL GROUP,INC
Obstetrics & Gynecology (Reproductive Endocrinology)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
San Diego County (858) 794-6363
ASHLEY ELIZABETH BROUSSARD FNP
Nurse Practitioner (Family)
11425 EL CAMINO REAL
SAN DIEGO, CA 92130
San Diego County (858) 794-6363

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Del Mar Surgery Center's NPI number?

The NPI number for Del Mar Surgery Center is 1023151974. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Del Mar Surgery Center located?

Del Mar Surgery Center is located at 11425 El Camino Real, San Diego, CA 92130. The listed phone number is (858) 794-6363.

What is Del Mar Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Del Mar Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0971701) is associated with this NPI, valid through March 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Del Mar Surgery Center was last updated on November 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.