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SAN LUIS OUTPATIENT SURGERY CENTER
NPI 1114549987
Clinic/Center - Ambulatory Surgical in San Luis, AZ

Active since May 14, 2020
151 S OAK AVE STE 6, SAN LUIS, AZ 85336(928) 315-7910(928) 722-6113 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 7, 2023, Sep 11, 2020, Jun 2, 2020 and 1 more (4 updates tracked since 2020).

About San Luis Outpatient Surgery Center NPPES

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

SAN LUIS OUTPATIENT SURGERY CENTER (NPI 1114549987) is a healthcare organization registered as an ambulatory surgical in San Luis, Arizona and active in the NPI registry since May 2020. The organization lists Amanda Aguirre, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1114549987
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSAN LUIS WALK-IN CLINIC, INC.
Location Address151 S OAK AVE STE 6San Luis, AZ 85336-0756
Mailing AddressPo Box 617Somerton, AZ 85350-0617 · (928) 315-7910 · Fax (928) 722-6113
Phone(928) 315-7910
Fax(928) 722-6113
Organization SubpartYesParent: San Luis-walk In Clinic, Inc.
Authorized OfficialAmanda AguirrePresident & Ceo · (928) 315-7910
Enumeration DateMay 14, 2020
Last NPPES UpdateSeptember 7, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1114549987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
151 S OAK AVE STE 6, San Luis, AZ 85336
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Other Names 1

Doing Business AsSan Luis Outpatient Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Luis Outpatient Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to San Luis Outpatient Surgery Center, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Charlotte Richards, MD
Obstetrics/Gynecology
NPI 1851358857
1896 E BABBIT LANE
San Luis, AZ 85349
(928) 722-6112
✔ PECOS✔ Accepts Medicare3.3 mi
Mandana Semnani, MD
Family Practice
NPI 1649626110
151 S OAK AVE STE 2
San Luis, AZ 85336
(928) 662-0414
✔ PECOS✔ Accepts Medicare3.3 mi
Shruti Sharma, MD
General Surgery
NPI 1073889085
151 S OAK AVE STE 6
San Luis, AZ 85336
(928) 662-0409
✔ PECOS✔ Accepts Medicare3.3 mi
Michael Stevens, M.D.
Obstetrics/Gynecology
NPI 1154365187
950 E MAIN ST BLDG B
Somerton, AZ 85350
(928) 236-8001
✔ PECOS✔ Accepts Medicare8.2 mi
Diana Thant, M.D.
Anesthesiology
NPI 1306935242
2400 S AVENUE A
Yuma, AZ 85364
(928) 344-2000
✔ PECOS✔ Accepts Medicare15 mi
Chandrasekhar Doniparthi, M.D.
Anesthesiology
NPI 1093702904
2400 S AVENUE A
Yuma, AZ 85364
(928) 336-1606
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Luis Walk-In Clinic, Inc.'s NPI number?

The NPI number for San Luis Walk-In Clinic, Inc. is 1114549987. It was assigned to this organization in the NPPES registry on May 14, 2020. The provider is doing business as San Luis Outpatient Surgery Center.

Where is San Luis Walk-In Clinic, Inc. located?

San Luis Walk-In Clinic, Inc. is located at 151 S Oak Ave Ste 6, San Luis, AZ 85336. The listed phone number is (928) 315-7910.

What is San Luis Walk-In Clinic, Inc.'s specialty?

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

Is San Luis Walk-In Clinic, Inc. enrolled in Medicare?

Yes. San Luis Walk-In Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Luis Walk-In Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to San Luis Walk-In Clinic, Inc., in Anesthesiology, Family Practice, General Surgery and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does San Luis Walk-In Clinic, Inc. accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list San Luis Walk-In Clinic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for San Luis Walk-In Clinic, Inc. was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.