RISSER SURGERY CENTER, LLC
NPI 1124395876
Clinic/Center - Ambulatory Surgical in Pasadena, CA

Q: What is Risser Surgery Center, LLC's NPI number?

The NPI number for Risser Surgery Center, LLC is 1124395876. It was assigned to this organization in the NPPES registry on November 23, 2011.

Q: What is Risser Surgery Center, LLC's specialty?

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

Active since November 23, 2011

2615 E WASHINGTON BLVD, PASADENA, CA 91107(626) 269-2601 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Risser Surgery Center, Llc NPPES

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

RISSER SURGERY CENTER, LLC (NPI 1124395876) is a healthcare organization registered as an ambulatory surgical in Pasadena, California and active in the NPI registry since November 2011. The organization lists Andrew Ball, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1124395876

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameRISSER SURGERY CENTER, LLC

Location Address2615 E WASHINGTON BLVDPasadena, CA 91107-1412

Mailing Address2615 E Washington BlvdPasadena, CA 91107-1412 · (626) 269-2601

Phone(626) 269-2601

Organization SubpartNo

Authorized OfficialAndrew BallAuthorized Official · (310) 651-2050

Enumeration DateNovember 23, 2011

Last NPPES UpdateMarch 27, 2024

NPPES CertifiedMarch 27, 2024

✔ NPI 1124395876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

2615 E WASHINGTON BLVD, Pasadena, CA 91107

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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Risser Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20120510000556Non-DME Part B · Ambulatory Surgical CenterDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

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 05D2048388

Risser Surgery Center · Pasadena, CA

Expired · Oct 15, 2026

CLIA Number05D2048388

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 16, 2024

Certificate Expiration DateOctober 15, 2026

Laboratory DirectorGregory Northrop

Laboratory Phone(626) 269-2601

Laboratory LocationRisser Surgery Center2615 E. Washington Blvd., Pasadena, CA 91107

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 11

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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

179 services126 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.

161 services63 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

160 services123 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

43 services33 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

42 services39 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

42 services22 patients

Other Providers at the Same Location NPPES

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

VINCENT PHYSICAL THERAPY

Physical Therapist

2615 E WASHINGTON BLVD
PASADENA, CA 91107

Los Angeles County (626) 798-5074

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 Risser Surgery Center, LLC's NPI number?

The NPI number for Risser Surgery Center, LLC is 1124395876. It was assigned to this organization in the NPPES registry on November 23, 2011.

Where is Risser Surgery Center, LLC located?

Risser Surgery Center, LLC is located at 2615 E Washington Blvd, Pasadena, CA 91107. The listed phone number is (626) 269-2601.

What is Risser Surgery Center, LLC's specialty?

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

Is Risser Surgery Center, LLC enrolled in Medicare?

Yes. Risser Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

When is Risser Surgery Center, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulatory Surgical Center) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Risser Surgery Center, LLC was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.