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CORONADO SURGERY CENTER, LLC
NPI 1235363987
Clinic/Center - Ambulatory Surgical in Henderson, NV

Active since May 11, 2009CLIA 29D1090212 · Waiver
2779 W HORIZON RIDGE PKWY, SUITE 140, HENDERSON, NV 89052(702) 589-9250(702) 589-9257 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coronado Surgery Center, Llc NPPES

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

CORONADO SURGERY CENTER, LLC (NPI 1235363987) is a healthcare organization registered as an ambulatory surgical in Henderson, Nevada and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Donna Tribble, Administrator/don, as its authorized official.

NPPES Registry Identity

NPI1235363987
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCORONADO SURGERY CENTER, LLC
Location Address2779 W HORIZON RIDGE PKWY, SUITE 140Henderson, NV 89052-4184
Mailing Address2779 W Horizon Ridge Pkwy, Suite 140Henderson, NV 89052-4184 · (702) 589-9250 · Fax (702) 589-9257
Phone(702) 589-9250
Fax(702) 589-9257
Organization SubpartNo
Authorized OfficialDonna TribbleAdministrator/don · (702) 589-9250
Enumeration DateMay 11, 2009
Last NPPES UpdateMay 10, 2019
✔ NPI 1235363987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in NV · 5381ASC-0
2779 W HORIZON RIDGE PKWY, Henderson, NV 89052
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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 29D1090212

Coronado Surgery Center LLC · Henderson, NV
Active · expires Oct 5, 2026
CLIA Number29D1090212
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorMichael J. Crovetti
Laboratory Phone(702) 589-9250
Laboratory LocationCoronado Surgery Center LLC2779 W Horizon Ridge Pkwy Ste 140, Henderson, NV 89052
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 4

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.

Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg C9088
Instillation of bupivacaine and meloxicam involves administering these medications into your body, usually through an injection. Bupivacaine is a local anesthetic that numbs specific areas, and meloxicam is an anti-inflammatory drug that reduces pain and swelling.
8,800 services21 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
36 services35 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.
21 services13 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
16 services16 patients

Other Providers at the Same Location NPPES 10

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

AMANDA HENRIQUES
Physical Therapist
2779 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Clark County (702) 897-1222
MISS RACHEL ELIZABETH HAJDA PT, DPT
Physical Therapist
2779 W HORIZON RIDGE PKWY, #10
HENDERSON, NV 89052
Clark County (702) 897-1222
ALEX JEREMY JACOBS DPT
Physical Therapist
2779 W HORIZON RIDGE PKWY, SUITE 100
HENDERSON, NV 89052
Clark County (702) 897-1222
KAYLA AMBER FLEET DPT
Physical Therapist
2779 W HORIZON RIDGE PKWY, SUITE 100
HENDERSON, NV 89052
Clark County (702) 897-1222
CORONADO SURGICAL LLC
Long Term Care Hospital
2779 W HORIZON RIDGE PKWY, SUITE 130
HENDERSON, NV 89052
Clark County (702) 589-4975
CORONADO SURGICAL RECOVERY SUITES
Long Term Care Hospital
2779 W HORIZON RIDGE PKWY, STE 130
HENDERSON, NV 89052
Clark County (702) 589-4975
CROVETTI BONE AND JOINT INSTITUTE OF SOUTHERN NEVADA
Orthopaedic Surgery (Sports Medicine)
2779 W HORIZON RIDGE PKWY, STE. 200
HENDERSON, NV 89052
Clark County (702) 990-2290
SUNIL KALLA MD
Internal Medicine (Cardiovascular Disease)
2779 W HORIZON RIDGE PKWY, SUITE #240
HENDERSON, NV 89052
Clark County (702) 240-6482

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 1235363987. It was assigned to this organization in the NPPES registry on May 11, 2009.

Where is Coronado Surgery Center, LLC located?

Coronado Surgery Center, LLC is located at 2779 W Horizon Ridge Pkwy Suite 140, Henderson, NV 89052. The listed phone number is (702) 589-9250.

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 29D1090212) is associated with this NPI, valid through October 5, 2026. 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 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 May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.