UCSD AMBULATORY SURGERY CENTER, LLC
NPI 1225648470
Clinic/Center - Ambulatory Surgical in La Jolla, CA

Active since August 03, 2020CLIA 05D0982734 · Waiver
4120 LA JOLLA VILLAGE DR, LA JOLLA, CA 92037(858) 657-0055(858) 657-0066 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ucsd Ambulatory Surgery Center, Llc NPPES

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

UCSD AMBULATORY SURGERY CENTER, LLC (NPI 1225648470), doing business as Outpatient Surgery Center Of La Jolla, is a healthcare organization registered as an ambulatory surgical in La Jolla, California and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Jeremy Peoples, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1225648470
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameUCSD AMBULATORY SURGERY CENTER, LLC
Location Address4120 LA JOLLA VILLAGE DRLa Jolla, CA 92037-1406
Mailing Address4120 La Jolla Village DrLa Jolla, CA 92037-1406 · (858) 657-0055 · Fax (858) 657-0066
Fax(858) 657-0066
Organization SubpartYes
Authorized OfficialJeremy PeoplesChief Administrative Officer · (858) 657-0055
Enumeration DateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
NPI 1225648470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4120 LA JOLLA VILLAGE DR, La Jolla, CA 92037

Other Names 1

Doing Business AsOutpatient Surgery Center Of La Jolla

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 05D0982734

Ucsd Ambulatory Surgery Center Dba La Jolla Orthopaedic Surgery Center · La Jolla, CA
Active · expires Feb 1, 2027
CLIA Number05D0982734
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorDavid Levine
Laboratory Phone(858) 657-0055
Laboratory LocationUcsd Ambulatory Surgery Center Dba La Jolla Orthopaedic Surgery Center4120 La Jolla Village Dr, La Jolla, CA 92037
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 24

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
662 services469 patients
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg J1096
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.
604 services110 patients
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
581 services112 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.
88 services72 patients
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.
87 services59 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
78 services71 patients

Other Providers at the Same Location NPPES 2

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

Anesthesiology
4120 LA JOLLA VILLAGE DR
LA JOLLA, CA 92037
Clinic/Center (Ambulatory Surgical)
4120 LA JOLLA VILLAGE DR
LA JOLLA, CA 92037

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 Ucsd Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Ucsd Ambulatory Surgery Center, LLC is 1225648470. It was assigned to this organization in the NPPES registry on August 3, 2020. The provider is doing business as Outpatient Surgery Center of La Jolla.

Where is Ucsd Ambulatory Surgery Center, LLC located?

Ucsd Ambulatory Surgery Center, LLC is located at 4120 La Jolla Village Dr, La Jolla, CA 92037. The listed phone number is (858) 657-0055.

What is Ucsd 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 Ucsd Ambulatory Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0982734) is associated with this NPI, valid through February 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ucsd Ambulatory Surgery Center, LLC was last updated on August 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.