TRI CITY SURGERY CENTER
NPI 1285068536
Non-Pharmacy Dispensing Site in Vista, CA
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 05D0930566
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 07-14-2027
About TRI CITY SURGERY CENTER
This page provides the complete NPI Profile along with additional information for Tri City Surgery Center, a provider established in Vista, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1285068536 assigned on August 2013. The practitioner's primary taxonomy code is 332900000X with license number A85939 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Tri City Surgery Center. The authorized official of this NPI record is Dr. Anuj Gupta M.d. (Medical Director)
- NPI
- 1285068536 Verify this NPI
- Provider Legal Name
- EYE SURGERY CENTER OF SOUTHERN CALIFORNIA, A MEDICAL GROUP
- Other Organization Name
- TRI CITY SURGERY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2023 W VISTA WAY SUITE E VISTA, CA 92083
- Location Phone
- (760) 941-8152
- Mailing Address
- 2980 N BEVERLY GLEN CIR SUITE 301 LOS ANGELES, CA 90077
- Mailing Phone
- (310) 943-4180
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-22-2013
- Last Update Date
- 08-26-2013
- Code Navigator
Location Map
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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- A85939
- License State
- CA
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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
- 05D0930566
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- July 15, 2025
- Certificate Expiration Date
- July 14, 2027
- Laboratory Director
- ANUJ GUPTA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tri City Surgery Center 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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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
VISTA, CA 92083
VISTA, CA 92083
VISTA, CA 92083
VISTA, CA 92083
VISTA, CA 92083
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285068536, enumerated as an "organization" on August 22, 2013.
The provider is located at 2023 W VISTA WAY SUITE E VISTA, CA 92083 and the phone number is (760) 941-8152.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
