CORONADO SURGERY CENTER LLC
NPI 1215489182
Clinic/Center - Ambulatory Surgical in Sierra Vista, AZ

Active since October 26, 2016CLIA 03D2146491 · Waiver
150 S CORONADO DR STE 100, SIERRA VISTA, AZ 85635(520) 335-8450(520) 335-8082 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2022, Jun 8, 2017, Oct 26, 2016 (3 updates tracked since 2016).

About Coronado Surgery Center Llc NPPES

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

CORONADO SURGERY CENTER LLC (NPI 1215489182) is a healthcare organization registered as an ambulatory surgical in Sierra Vista, Arizona and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through March 28, 2028, maintains a secondary practice location in Tucson, and lists Jamie Michelle Moenster, Physician, as its authorized official.

NPPES Registry Identity

NPI1215489182
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCORONADO SURGERY CENTER LLC
Location Address150 S CORONADO DR STE 100Sierra Vista, AZ 85635-6301
Mailing Address150 S Coronado Dr Ste 100Sierra Vista, AZ 85635-6301 · (520) 335-8450 · Fax (520) 335-8082
Fax(520) 335-8082
Organization SubpartYes
Authorized OfficialJamie Michelle MoensterPhysician · (520) 207-3100
Enumeration DateOctober 26, 2016
Last NPPES UpdateJune 24, 20263 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
NPI 1215489182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
150 S CORONADO DR STE 100, Sierra Vista, AZ 85635

Secondary Practice Location 1

Location 15101 N Oracle Rd Ste 111Tucson, AZ 85704-3713 · Phone (520) 274-8500 · Fax (520) 365-2272

Accepted Insurance

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 03D2146491

Coronado Surgery Center · Sierra Vista, AZ
Active · expires Mar 28, 2028
CLIA Number03D2146491
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorDeborah Rocas
Laboratory Phone(520) 335-8450
Laboratory LocationCoronado Surgery Center150 S Coronado Dr Ste 100, Sierra Vista, AZ 85635
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Coronado Surgery Center LLC's NPI number?

The NPI number for Coronado Surgery Center LLC is 1215489182. It was assigned to this organization in the NPPES registry on October 26, 2016.

Where is Coronado Surgery Center LLC located?

Coronado Surgery Center LLC is located at 150 S Coronado Dr Ste 100, Sierra Vista, AZ 85635. The listed phone number is (520) 335-8450.

What is Coronado Surgery Center LLC's specialty?

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

Does Coronado Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2146491) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coronado Surgery Center LLC accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Coronado Surgery Center LLC 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 Coronado Surgery Center LLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.