SAN DIEGO PREMIER SURGERY CENTER LLC
NPI 1063245785
Clinic/Center - Ambulatory Surgical in San Diego, CA
About San Diego Premier Surgery Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAN DIEGO PREMIER SURGERY CENTER LLC (NPI 1063245785) is a healthcare organization registered as an ambulatory surgical in San Diego, California and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists Timothy Chong, Chief Medical Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 05D2314866
San Diego Premier Surgery Center LLC · San Diego, CAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92110
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 San Diego Premier Surgery Center LLC's NPI number?
The NPI number for San Diego Premier Surgery Center LLC is 1063245785. It was assigned to this organization in the NPPES registry on August 20, 2024.
Where is San Diego Premier Surgery Center LLC located?
San Diego Premier Surgery Center LLC is located at 3434 Midway Dr Ste 1008, San Diego, CA 92110. The listed phone number is (818) 855-1507.
What is San Diego Premier Surgery Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does San Diego Premier Surgery Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2314866) is associated with this NPI, valid through December 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for San Diego Premier Surgery Center LLC was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# San Diego Premier Surgery Center Llc · NPI 1063245785
Ambulatory Surgical organization in San Diego, California. Organization record, active in the CMS NPPES registry since August 20, 2024.
## Identity
- **NPI:** 1063245785 (Entity type: Organization)
- **Enumerated:** August 20, 2024
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Timothy Chong, CHIEF MEDICAL OFFICER
## Practice location
- **Address:** 3434 MIDWAY DR STE 1008, San Diego, CA 92110-4924
- **Phone:** (818) 855-1507
## Record status
- **NPPES last updated:** January 15, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063245785) · Data from the CMS NPPES public registry.