SUN VALLEY SURGERY CENTER, LLC
NPI 1114266970
Clinic/Center - Ambulatory Surgical in North Las Vegas, NV

NPI Status: Active since February 13, 2013

Contact Information

4090 N MLK BLVD
NORTH LAS VEGAS, NV
ZIP 89032
Phone: (425) 306-2579

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 29D2063209
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 07-28-2025

About SUN VALLEY SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Sun Valley Surgery Center, Llc, a provider established in North Las Vegas, Nevada operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1114266970 assigned on February 2013. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Christian Garaycochea M.d. (Owner, Medical Director)

NPI
1114266970
Provider Name
SUN VALLEY SURGERY CENTER, LLC
Entity Type
Organization
Location Address
4090 N MLK BLVD NORTH LAS VEGAS, NV 89032
Location Phone
(425) 306-2579
Mailing Address
4090 N MLK BLVD NORTH LAS VEGAS, NV 89032
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2013
Last Update Date
06-05-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear VALUE Silver - HMO
  • Complete VALUE Gold - HMO
  • Focused VALUE Silver - HMO
  • Focused VALUE Silver + Vision + Adult Dental - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Standard Silver VALUE + Vision + Adult Dental - HMO
  • Complete VALUE Gold - HMO
  • Complete VALUE Silver - HMO
  • Elite VALUE Bronze - HMO
  • Focused VALUE Silver - HMO
  • Standard Expanded Bronze VALUE - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTIAN GARAYCOCHEA M.D.

Authorized Official Title
OWNER, MEDICAL DIRECTOR
Authorized Official Phone
(801) 368-0468

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
29D2063209
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
July 29, 2023
Certificate Expiration Date
July 28, 2025
Laboratory Director
STUART A. WEICHERS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sun Valley Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SUN VALLEY SURGERY CENTER, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114266970
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21244612914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 4 + 6 + 1 + 2 + 9 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1114266970 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

STEVEN ELIOT DELISLE DDS

Dentist

4090 N MLK BLVD
NORTH LAS VEGAS, NV
ZIP 89032

(425) 306-2579

DR. LUBNA A ANWAR DDS

Dentist

4090 N MLK BLVD
NORTH LAS VEGAS, NV
ZIP 89032

(702) 489-5460

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114266970, enumerated as an "organization" on February 13, 2013.

The provider is located at 4090 N MLK BLVD NORTH LAS VEGAS, NV 89032 and the phone number is (425) 306-2579.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.