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CORONA SUMMIT SURGERY CENTER
NPI 1073986527
Clinic/Center - Ambulatory Surgical in Corona, CA

Active since November 05, 2015CLIA 05D2046385 · Waiver
2370 ANSELMO DR, CORONA, CA 92879(951) 736-0137(951) 734-3597 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Corona Summit Surgery Center NPPES

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

CORONA SUMMIT SURGERY CENTER (NPI 1073986527) is a healthcare organization registered as an ambulatory surgical in Corona, California and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists John Heydt, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1073986527
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCORONA SUMMIT SURGERY CENTER
Location Address2370 ANSELMO DRCorona, CA 92879-7109
Mailing AddressPo Box 31001-2130Pasadena, CA 91110-2130 · (213) 412-1973 · Fax (213) 412-1981
Phone(951) 736-0137
Fax(951) 734-3597
Organization SubpartYesParent: Regents Of The University Of California
Authorized OfficialJohn HeydtChief Executive Officer · (714) 456-2986
Enumeration DateNovember 5, 2015
✔ NPI 1073986527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2370 ANSELMO DR, Corona, CA 92879
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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 05D2046385

Corona Summit Surgical Center · Corona, CA
Active · expires Aug 30, 2026
CLIA Number05D2046385
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorRichard Shepard
Laboratory Phone(909) 896-5245
Laboratory LocationCorona Summit Surgical Center2370 Anselmo Drive, Corona, CA 92879
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. FRANK EDWARD SZCZESNIAK III RN, FNP-BC
Nurse Practitioner (Family)
2370 ANSELMO DR
CORONA, CA 92879
Riverside County (909) 896-5245
CORONA SUMMIT SURGICENTER, LLC
Clinic/Center (Ambulatory Surgical)
2370 ANSELMO DR
CORONA, CA 92879
Riverside County (951) 736-0137
FOCUSED CARE ANESTHESIA CONSULTANTS, INC
Anesthesiology
2370 ANSELMO DR
CORONA, CA 92879
Riverside County (951) 736-0137
CORONA SURGICAL ANESTHESIA
Anesthesiology
2370 ANSELMO DR
CORONA, CA 92879
Riverside County (951) 736-0137

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 Corona Summit Surgery Center's NPI number?

The NPI number for Corona Summit Surgery Center is 1073986527. It was assigned to this organization in the NPPES registry on November 5, 2015.

Where is Corona Summit Surgery Center located?

Corona Summit Surgery Center is located at 2370 Anselmo Dr, Corona, CA 92879. The listed phone number is (951) 736-0137.

What is Corona Summit Surgery Center's specialty?

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

Does Corona Summit Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2046385) is associated with this NPI, valid through August 30, 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 Corona Summit Surgery Center was last updated on November 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.