1. Home
  2. Directory
  3. California
  4. Colton
  5. Clinic Center
  6. NPI Profile

PREMIER OUTPATIENT SURGERY CENTER, INC.
NPI 1033114764
Clinic/Center - Ambulatory Surgical in Colton, CA

Active since June 17, 2005CLIA 05D0986727 · Waiver
900 E WASHINGTON ST, STE 155, COLTON, CA 92324(909) 370-2190(909) 370-2266 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Premier Outpatient Surgery Center, Inc. NPPES

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

PREMIER OUTPATIENT SURGERY CENTER, INC. (NPI 1033114764) is a healthcare organization registered as an ambulatory surgical in Colton, California and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists David Wood, President, as its authorized official.

NPPES Registry Identity

NPI1033114764
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePREMIER OUTPATIENT SURGERY CENTER, INC.
Location Address900 E WASHINGTON ST, STE 155Colton, CA 92324-4196
Mailing Address900 E Washington St, Ste 155Colton, CA 92324-4196 · (909) 370-2190 · Fax (909) 370-2266
Phone(909) 370-2190
Fax(909) 370-2266
Organization SubpartNo
Authorized OfficialDavid WoodPresident · (909) 370-2190
Enumeration DateJune 17, 2005
Last NPPES UpdateMay 6, 2008
✔ NPI 1033114764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · 240000827
900 E WASHINGTON ST, Colton, CA 92324
Open in Google Maps ↗

Other Identifiers 2

Medicare PINZZZ21227ZCA
MedicaidSUR01516FCA

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 05D0986727

Premier Outpatient Surgery Center · San Bernardino, CA
Active · expires May 21, 2027
CLIA Number05D0986727
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorJiensup Kim
Laboratory Phone(909) 370-2190
Laboratory LocationPremier Outpatient Surgery Center1003 E Brier Dr, Ste 170, San Bernardino, CA 92408
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DAVID LYMAN WOOD M.D.
Orthopaedic Surgery
900 E WASHINGTON ST, SUITE 100
COLTON, CA 92324
San Bernardino County (909) 433-3200
MR. MICHAEL T REID CRNA
Nurse Anesthetist, Certified Registered
900 E WASHINGTON ST, STE. 100
COLTON, CA 92324
San Bernardino County (909) 370-2190
GLOBAL ANESTHESIA SERVICES INC A PROFESSIONAL NURSING CORPORATION
Nurse Anesthetist, Certified Registered
900 E WASHINGTON ST, SUITE 155
COLTON, CA 92324
San Bernardino County (909) 370-2190
JIENSUP KIM MD A PROFESSIONAL CORPORATION
Specialist
900 E WASHINGTON ST, SUITE 100A
COLTON, CA 92324
San Bernardino County (909) 370-0300
EXECUTIVE MEDICAL & SURGICAL ASSOCIATES INC.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
900 E WASHINGTON ST, SUITE 300
COLTON, CA 92324
San Bernardino County (909) 824-2422
BARRY A WOOD RPT
Physical Therapist (Orthopedic)
900 E WASHINGTON ST, STE. 100
COLTON, CA 92324
San Bernardino County (909) 433-3200
E ALBERT GUARIN BALBAS MD PC
Physical Medicine & Rehabilitation (Pain Medicine)
900 E WASHINGTON ST, SUITE 300
COLTON, CA 92324
San Bernardino County (909) 824-2422
DR. PATRICK JEROME WYMORE DC
Chiropractor
900 E WASHINGTON ST, SUITE 300
COLTON, CA 92324
San Bernardino County (909) 824-2422

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 Premier Outpatient Surgery Center, Inc.'s NPI number?

The NPI number for Premier Outpatient Surgery Center, Inc. is 1033114764. It was assigned to this organization in the NPPES registry on June 17, 2005.

Where is Premier Outpatient Surgery Center, Inc. located?

Premier Outpatient Surgery Center, Inc. is located at 900 E Washington St Ste 155, Colton, CA 92324. The listed phone number is (909) 370-2190.

What is Premier Outpatient Surgery Center, Inc.'s specialty?

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

Does Premier Outpatient Surgery Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0986727) is associated with this NPI, valid through May 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Outpatient Surgery Center, Inc. was last updated on May 6, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.