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CANYON PAIN SURGERY CENTER
NPI 1245054816
Anesthesiology in Mesa, AZ

Active since November 11, 2024CLIA 03D2284794 · Waiver
4540 E BASELINE RD STE 117, MESA, AZ 85206(480) 561-0446(480) 608-4762 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canyon Pain Surgery Center NPPES

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

CANYON PAIN SURGERY CENTER (NPI 1245054816) is a healthcare organization registered as an anesthesiology in Mesa, Arizona and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through June 27, 2027 and lists Ryan Gibb, Owner And Physician, as its authorized official.

NPPES Registry Identity

NPI1245054816
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameCANYON PAIN SURGERY CENTER
Location Address4540 E BASELINE RD STE 117Mesa, AZ 85206-4617
Mailing Address4540 E Baseline Rd Ste 117Mesa, AZ 85206-4617 · (480) 561-0446 · Fax (480) 608-4762
Phone(480) 561-0446
Fax(480) 608-4762
Organization SubpartNo
Authorized OfficialRyan GibbOwner And Physician · (480) 561-5000
Enumeration DateNovember 11, 2024
NPPES CertifiedNovember 11, 2024
✔ NPI 1245054816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
4540 E BASELINE RD STE 117, Mesa, AZ 85206
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 03D2284794

Canyon Pain Surgery Center, LLC · Mesa, AZ
Active · expires Jun 27, 2027
CLIA Number03D2284794
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 28, 2025
Certificate Expiration DateJune 27, 2027
Laboratory DirectorKirk Bowden
Laboratory Phone(480) 561-0446
Laboratory LocationCanyon Pain Surgery Center, LLC4540 E Baseline Rd Ste 117, Mesa, AZ 85206
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.

ELITE SURGICAL CENTER, LLC
Clinic/Center (Ambulatory Surgical)
4540 E BASELINE RD STE 117
MESA, AZ 85206
Maricopa County (480) 622-4158
TURNING POINTE SURGERY CENTRE
Clinic/Center (Ambulatory Surgical)
4540 E BASELINE RD STE 117
MESA, AZ 85206
Maricopa County (480) 844-1410
CANYON PAIN AND SPINE
Pain Medicine (Interventional Pain Medicine)
4540 E BASELINE RD STE 117
MESA, AZ 85206
Maricopa County (480) 561-5000
CANYON PAIN SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
4540 E BASELINE RD STE 117
MESA, AZ 85206
Maricopa County (480) 561-0446

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 Canyon Pain Surgery Center's NPI number?

The NPI number for Canyon Pain Surgery Center is 1245054816. It was assigned to this organization in the NPPES registry on November 11, 2024.

Where is Canyon Pain Surgery Center located?

Canyon Pain Surgery Center is located at 4540 E Baseline Rd Ste 117, Mesa, AZ 85206. The listed phone number is (480) 561-0446.

What is Canyon Pain Surgery Center's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Does Canyon Pain Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2284794) is associated with this NPI, valid through June 27, 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 Canyon Pain Surgery Center was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.