REGENCY AMBULATORY SURGERY CENTER ONE, LLC
NPI 1073155834
Clinic/Center - Ambulatory Surgical in Surprise, AZ

Q: What is Regency Ambulatory Surgery Center One, LLC's specialty?

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

Active since October 14, 2019CLIA 03D2184401 · Waiver

14725 W MOUNTAIN VIEW BLVD, SURPRISE, AZ 85374(623) 243-9077(623) 271-9826 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2022, Oct 14, 2019 (2 updates tracked since 2019).

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About Regency Ambulatory Surgery Center One, Llc NPPES

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

REGENCY AMBULATORY SURGERY CENTER ONE, LLC (NPI 1073155834) is a healthcare organization registered as an ambulatory surgical in Surprise, Arizona and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists Jason Lee Mussman, Ceo/sole Member, as its authorized official.

NPPES Registry Identity

NPI1073155834

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameREGENCY AMBULATORY SURGERY CENTER ONE, LLC

Location Address14725 W MOUNTAIN VIEW BLVDSurprise, AZ 85374-2704

Mailing Address10240 W Indian School Rd Ste 115Phoenix, AZ 85037-5905 · (623) 243-9077 · Fax (623) 271-9826

Phone(623) 243-9077

Fax(623) 271-9826

Organization SubpartNo

Authorized OfficialJason Lee MussmanCeo/sole Member · (623) 243-9077

Enumeration DateOctober 14, 2019

Last NPPES UpdateMay 2, 20252 updates tracked since enumeration

NPPES CertifiedMay 2, 2025

✔ NPI 1073155834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

14725 W MOUNTAIN VIEW BLVD, Surprise, AZ 85374

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

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 03D2184401

Regency Ambulatory Surgery Center One · Surprise, AZ

Active · expires May 18, 2028

CLIA Number03D2184401

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 19, 2026

Certificate Expiration DateMay 18, 2028

Laboratory DirectorJason L. Mussman

Laboratory Phone(623) 243-9077

Laboratory LocationRegency Ambulatory Surgery Center One14725 W Mountain View Blvd Suite 125, Surprise, AZ 85374

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Repair of wound by transferring skin, 30.1-60.0 sq cm 14301

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

986 services702 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

639 services544 patients

Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002

This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.

581 services491 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm 14041

This procedure involves repairing a wound on specified body areas by transferring skin from another part of the body. The transferred skin, measuring between 10.1 to 30.0 square cm, aids in healing the wound and restoring the skin's normal function.

119 services113 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

67 services63 patients

Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm 14021

This procedure involves repairing a wound on your scalp, arm, or leg by moving skin from another part of your body. The skin transferred will cover an area between 10.1 to 30.0 square cm. This helps promote healing and reduce scarring.

58 services56 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm 14061

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by transferring skin from another part of the body. The size of the skin transferred will be between 10.1 to 30.0 square centimeters. It is performed to restore function and appearance.

58 services54 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

52 services49 patients

Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm 13152

This procedure involves repairing a wound on your eyelids, nose, ears, or lip that is between 2.6 and 7.5 cm long. It's considered complicated due to the location and size. The doctor will clean, treat, and stitch the wound to promote healing.

47 services42 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040

This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.

45 services43 patients

Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm 14001

This procedure involves treating a wound on the body by moving skin from one area to another. The transferred skin, ranging from 10.1-30.0 sq cm, helps cover and heal the wound. It's a common way to promote healing for large or deep wounds.

41 services38 patients

Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less 15220

A full-thickness skin graft involves transferring a layer of skin from one area of the body to the scalp, arms, or legs. This procedure, covering an area 20.0 sq cm or less, aids in healing wounds or areas with skin loss. It's a safe, common surgical practice.

36 services30 patients

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less 15260

A full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.

28 services27 patients

Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less 15240

A full thickness skin graft involves transplanting skin from one area of the body to another. In this case, to the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The procedure helps heal areas affected by injury or disease, covering an area of 20.0 sq cm or less.

21 services21 patients

Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less 14020

This procedure involves repairing a wound on your scalp, arm, or leg by transferring a small piece of skin, 10.0 sq cm or less, from a different area of your body. This skin graft helps promote healing and minimizes scarring.

14 services12 patients

Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm 13151

This procedure involves the intricate repair of a wound that is 1.1 to 2.5 cm long on your eyelids, nose, ears, or lip. The goal is to mend the wound carefully to preserve function and minimize scarring. The process may involve stitching and other techniques.

12 services12 patients

Other Providers at the Same Location NPPES 7

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

LAUREN FULLER

Student in an Organized Health Care Education/Training Program