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

AZUSA SURGERY CENTER LLC
NPI 1114043858
Clinic/Center - Ambulatory Surgical in Azusa, CA

Active since March 22, 2007CLIA 05D1065144 · Waiver
830 S. CITRUS AVE, SUITE 101, AZUSA, CA 91702(626) 543-1560 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2025, Apr 20, 2020 (2 updates tracked since 2020).

About Azusa Surgery Center Llc NPPES

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

AZUSA SURGERY CENTER LLC (NPI 1114043858) is a healthcare organization registered as an ambulatory surgical in Azusa, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Clayton A Varga, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114043858
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAZUSA SURGERY CENTER LLC
Location Address830 S. CITRUS AVE, SUITE 101Azusa, CA 91702
Mailing Address10565 Civic Center Dr Ste 250Rancho Cucamonga, CA 91730-3854 · (626) 543-1560 · Fax (626) 974-6900
Phone(626) 543-1560
Organization SubpartNo
Authorized OfficialClayton A VargaCeo · (626) 696-1400
Enumeration DateMarch 22, 2007
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1114043858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
830 S. CITRUS AVE, Azusa, CA 91702
Open in Google Maps ↗

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 05D1065144

Azusa Surgery Center Inc A Medical Corporation · Azusa, CA
Active · expires Feb 21, 2027
CLIA Number05D1065144
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorMarc E. Lynch
Laboratory Phone(626) 543-1560
Laboratory LocationAzusa Surgery Center Inc A Medical Corporation830 S Citrus Ave Ste 101, Azusa, CA 91702
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 2

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
71 services58 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
31 services12 patients

Other Providers at the Same Location NPPES 3

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

MRS. MARIA ELANI CAPISTRANO SPEECH PATHOLOGIST
Speech-Language Pathologist
830 S. CITRUS AVE, SUITE 203
AZUSA, CA 91702
Los Angeles County (626) 339-6514
ALGOS INC., A MEDICAL CORPORATION
Pain Medicine (Pain Medicine)
830 S. CITRUS AVE, SUITE 201
AZUSA, CA 91702
Los Angeles County (626) 974-1441
MR. THOMAS EUGENE JACKSON PT
Physical Therapist
830 S. CITRUS AVE, SUITE 203
AZUSA, CA 91702
Los Angeles County (626) 339-6514

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 Azusa Surgery Center LLC's NPI number?

The NPI number for Azusa Surgery Center LLC is 1114043858. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Azusa Surgery Center LLC located?

Azusa Surgery Center LLC is located at 830 S. Citrus Ave Suite 101, Azusa, CA 91702. The listed phone number is (626) 543-1560.

What is Azusa Surgery Center LLC's specialty?

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

Does Azusa Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1065144) is associated with this NPI, valid through February 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 Azusa Surgery Center LLC was last updated on March 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.