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

NPI Status: Active since May 11, 2009

Contact Information

2779 W HORIZON RIDGE PKWY
SUITE 140
HENDERSON, NV
ZIP 89052
Phone: (702) 589-9250
Fax: (702) 589-9257

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 29D1090212
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 10-05-2026

About CORONADO SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Coronado Surgery Center, Llc, a provider established in Henderson, Nevada operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1235363987 assigned on May 2009. The practitioner's primary taxonomy code is 261QA1903X with license number 5381ASC-0 (NV). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Donna Tribble Rn, Cnor (Administrator/don)

NPI
1235363987
Provider Name
CORONADO SURGERY CENTER, LLC
Entity Type
Organization
Location Address
2779 W HORIZON RIDGE PKWY SUITE 140 HENDERSON, NV 89052
Location Phone
(702) 589-9250
Location Fax
(702) 589-9257
Mailing Address
2779 W HORIZON RIDGE PKWY SUITE 140 HENDERSON, NV 89052
Mailing Phone
(702) 589-9250
Mailing Fax
(702) 589-9257
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2009
Last Update Date
05-10-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
5381ASC-0
License State
NV

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONNA TRIBBLE RN, CNOR

Authorized Official Title
ADMINISTRATOR/DON
Authorized Official Phone
(702) 589-9250

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

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

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.

This service was performed 27 times for 19 patients

Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg

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.

This service was performed 24,403 times for 62 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

This service was performed 12 times for 12 patients

Repair of shoulder rotator cuff using an endoscope

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

This service was performed 17 times for 17 patients

Replacement of knee joint, both sides of knee

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.

This service was performed 74 times for 70 patients

Replacement of thigh bone and hip joint with prosthesis

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.

This service was performed 38 times for 37 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
29D1090212
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
October 06, 2024
Certificate Expiration Date
October 05, 2026
Laboratory Director
MICHAEL J. CROVETTI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Coronado Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235363987, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 3 → 6 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 6 + 6 + 6 + 9 + 1 + 6 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1235363987.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Physical Therapist
2779 W HORIZON RIDGE PKWY, SUITE 100
HENDERSON, NV 89052
Ophthalmology
2779 W HORIZON RIDGE PKWY, SUITE 2020
HENDERSON, NV 89052
Orthopaedic Surgery
2779 W HORIZON RIDGE PKWY, SUITE 200
HENDERSON, NV 89052
Long Term Care Hospital
2779 W HORIZON RIDGE PKWY, STE 130
HENDERSON, NV 89052
Physical Therapist
2779 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Physical Therapist
2779 W HORIZON RIDGE PKWY, #10
HENDERSON, NV 89052
Internal Medicine (Cardiovascular Disease)
2779 W HORIZON RIDGE PKWY, SUITE #240
HENDERSON, NV 89052
Physical Therapist
2779 W HORIZON RIDGE PKWY, SUITE 100
HENDERSON, NV 89052
Orthopaedic Surgery (Sports Medicine)
2779 W HORIZON RIDGE PKWY, STE. 200
HENDERSON, NV 89052
Long Term Care Hospital
2779 W HORIZON RIDGE PKWY, SUITE 130
HENDERSON, NV 89052

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235363987, enumerated as an "organization" on May 11, 2009.

The provider is located at 2779 W HORIZON RIDGE PKWY SUITE 140 HENDERSON, NV 89052 and the phone number is (702) 589-9250.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to verify.