PASADENA AMBULATORY SURGERY CENTER LLC
NPI 1134739147
Clinic/Center - Ambulatory Surgical in Pasadena, CA

Q: What is Pasadena Ambulatory 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 August 04, 2020CLIA 05D2184496 · Waiver

301 S FAIR OAKS AVE STE 106, PASADENA, CA 91105(626) 440-0099(626) 440-0099 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pasadena Ambulatory Surgery Center Llc NPPES

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

PASADENA AMBULATORY SURGERY CENTER LLC (NPI 1134739147), doing business as Pasadena Ambulatory Surgery Center Inc., is a healthcare organization registered as an ambulatory surgical in Pasadena, California and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through May 19, 2028 and lists Husam Elias, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1134739147

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePASADENA AMBULATORY SURGERY CENTER LLC

Location Address301 S FAIR OAKS AVE STE 106Pasadena, CA 91105-2536

Mailing Address301 S Fair Oaks Ave Ste 106Pasadena, CA 91105-2536 · (626) 440-0099 · Fax (626) 440-1002

Phone(626) 440-0099

Fax(626) 440-0099

Organization SubpartNo

Authorized OfficialHusam EliasMedical Director · (626) 440-0066

Enumeration DateAugust 4, 2020

NPPES CertifiedAugust 4, 2020

✔ NPI 1134739147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

301 S FAIR OAKS AVE STE 106, Pasadena, CA 91105

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Other Names 1

Former Legal Business NamePasadena Ambulatory Surgery Center Inc.

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 05D2184496

Pasadena Ambulatory Surgery Center LLC · Pasadena, CA

Active · expires May 19, 2028

CLIA Number05D2184496

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 20, 2026

Certificate Expiration DateMay 19, 2028

Laboratory DirectorHusam G. Elias

Laboratory Phone(626) 440-0099

Laboratory LocationPasadena Ambulatory Surgery Center LLC301 S Fair Oaks Ave #106, Pasadena, CA 91105

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

INNOVATIVE WOUND SOLUTIONS

Plastic Surgery

301 S FAIR OAKS AVE STE 106
PASADENA, CA 91105

Los Angeles County (213) 407-4416

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 Pasadena Ambulatory Surgery Center LLC's NPI number?

The NPI number for Pasadena Ambulatory Surgery Center LLC is 1134739147. It was assigned to this organization in the NPPES registry on August 4, 2020. The provider was formerly known as Pasadena Ambulatory surgery center Inc..

Where is Pasadena Ambulatory Surgery Center LLC located?

Pasadena Ambulatory Surgery Center LLC is located at 301 S Fair Oaks Ave Ste 106, Pasadena, CA 91105. The listed phone number is (626) 440-0099.

What is Pasadena Ambulatory Surgery Center LLC's specialty?

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

Does Pasadena Ambulatory Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2184496) is associated with this NPI, valid through May 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pasadena Ambulatory Surgery Center LLC was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.