1. Home
  2. Directory
  3. California
  4. Fresno
  5. Clinic Center
  6. NPI Profile

FRESNO DENTAL SURGERY CENTER LLC
NPI 1235673773
Clinic/Center - Ambulatory Surgical in Fresno, CA

Active since December 16, 2016CLIA 05D1053433 · Waiver
2828 FRESNO ST, SUITE 100, FRESNO, CA 93721(559) 263-9648(559) 263-9777 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fresno Dental Surgery Center Llc NPPES

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

FRESNO DENTAL SURGERY CENTER LLC (NPI 1235673773) is a healthcare organization registered as an ambulatory surgical in Fresno, California and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Raymond Figueroa, President, Ceo & Secretary, as its authorized official.

NPPES Registry Identity

NPI1235673773
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFRESNO DENTAL SURGERY CENTER LLC
Location Address2828 FRESNO ST, SUITE 100Fresno, CA 93721-1327
Mailing Address2828 Fresno St, Suite 100Fresno, CA 93721-1327 · (559) 263-9648 · Fax (559) 263-9777
Phone(559) 263-9648
Fax(559) 263-9777
Organization SubpartNo
Authorized OfficialRaymond FigueroaPresident, Ceo & Secretary · (717) 968-8729
Enumeration DateDecember 16, 2016
✔ NPI 1235673773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2828 FRESNO ST, Fresno, CA 93721
Open in Google Maps ↗

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 05D1053433

Fresno Dental Surgery Center, A Vallarine Dental Practice · Fresno, CA
Active · expires Apr 24, 2028
CLIA Number05D1053433
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorMichael A. Mellenthin Jr
Laboratory Phone(559) 263-9648
Laboratory LocationFresno Dental Surgery Center, A Vallarine Dental Practice2828 Fresno Street Suite 100, Fresno, CA 93721
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

NARGIS NAHEED M.D.
Internal Medicine (Infectious Disease)
2828 FRESNO ST, SUITE 203
FRESNO, CA 93721
Fresno County (559) 320-1090
DR. BRENDA LEE THOMAS-PUGH DDS
Dentist (General Practice)
2828 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 263-9648
ALAN J VALLARINE DDS INC 2
Dentist (Pediatric Dentistry)
2828 FRESNO ST, SUITE 100
FRESNO, CA 93721
Fresno County (559) 263-9648
VALLARINE DENTAL, LLC
Clinic/Center (Ambulatory Surgical)
2828 FRESNO ST, SUITE 100
FRESNO, CA 93721
Fresno County (559) 263-9648

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 Fresno Dental Surgery Center LLC's NPI number?

The NPI number for Fresno Dental Surgery Center LLC is 1235673773. It was assigned to this organization in the NPPES registry on December 16, 2016.

Where is Fresno Dental Surgery Center LLC located?

Fresno Dental Surgery Center LLC is located at 2828 Fresno St Suite 100, Fresno, CA 93721. The listed phone number is (559) 263-9648.

What is Fresno Dental Surgery Center LLC's specialty?

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

Does Fresno Dental Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1053433) is associated with this NPI, valid through April 24, 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 Fresno Dental Surgery Center LLC was last updated on December 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.