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CHINO STONE & SURGERY CENTER
NPI 1053096040
Clinic/Center - Ambulatory Surgical in Chino, CA

Active since June 19, 2023CLIA 05D2287828 · Waiver
12611 9TH STREET, SUITE D, CHINO, CA 91710(909) 902-0009(909) 206-0628 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 26, 2025, Feb 10, 2025, Feb 6, 2025 and 1 more (4 updates tracked since 2023).

About Chino Stone & Surgery Center NPPES

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

CHINO STONE & SURGERY CENTER (NPI 1053096040) is a healthcare organization registered as an ambulatory surgical in Chino, California and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists David G Song, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1053096040
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCHINO STONE & SURGERY CENTER
Location Address12611 9TH STREET, SUITE DChino, CA 91710-3528
Mailing Address12611 9th Street, Suite DChino, CA 91710-3528 · (909) 480-4968 · Fax (909) 206-0628
Phone(909) 902-0009
Fax(909) 206-0628
Organization SubpartNo
Authorized OfficialDavid G SongMedical Director · (909) 902-0009
Enumeration DateJune 19, 2023
Last NPPES UpdateMarch 26, 20254 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1053096040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
12611 9TH STREET, Chino, CA 91710
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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 05D2287828

Chino Stone & Surgery Center · Chino, CA
Active · expires Aug 16, 2027
CLIA Number05D2287828
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorDavid G. Song
Laboratory Phone(909) 902-0009
Laboratory LocationChino Stone & Surgery Center12611 9th Street, Suite D, Chino, CA 91710
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Chino Stone & Surgery Center's NPI number?

The NPI number for Chino Stone & Surgery Center is 1053096040. It was assigned to this organization in the NPPES registry on June 19, 2023.

Where is Chino Stone & Surgery Center located?

Chino Stone & Surgery Center is located at 12611 9th Street Suite D, Chino, CA 91710. The listed phone number is (909) 902-0009.

What is Chino Stone & Surgery Center's specialty?

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

Does Chino Stone & Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2287828) is associated with this NPI, valid through August 16, 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 Chino Stone & Surgery Center was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.