RENAISSANCE ASC, LLC
NPI 1295072049
Clinic/Center - Ambulatory Surgical in Palm Desert, CA

Q: What is Renaissance ASC, LLC's NPI number?

The NPI number for Renaissance ASC, LLC is 1295072049. It was assigned to this organization in the NPPES registry on January 14, 2013.

Q: What is Renaissance ASC, LLC's specialty?

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

Active since January 14, 2013CLIA 05D2059512 · Waiver

44139 MONTEREY AVE STE B, PALM DESERT, CA 92260(760) 773-4411(760) 773-2393 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Renaissance Asc, Llc NPPES

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

RENAISSANCE ASC, LLC (NPI 1295072049) is a healthcare organization registered as an ambulatory surgical in Palm Desert, California and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through May 22, 2027 and lists Michael Samuel, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1295072049

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameRENAISSANCE ASC, LLC

Location Address44139 MONTEREY AVE STE BPalm Desert, CA 92260-8700

Mailing Address44139 Monterey Ave Ste BPalm Desert, CA 92260-8700 · (760) 773-4411 · Fax (760) 773-2393

Phone(760) 773-4411

Fax(760) 773-2393

Organization SubpartNo

Authorized OfficialMichael SamuelMedical Director · (760) 773-4411

Enumeration DateJanuary 14, 2013

Last NPPES UpdateApril 16, 2019

✔ NPI 1295072049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

44139 MONTEREY AVE STE B, Palm Desert, CA 92260

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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 05D2059512

Renaissance ASC, LLC · Palm Desert, CA

Active · expires May 22, 2027

CLIA Number05D2059512

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 23, 2025

Certificate Expiration DateMay 22, 2027

Laboratory DirectorMichael Samuel

Laboratory Phone(760) 773-4411

Laboratory LocationRenaissance ASC, LLC44139 Monterey Ste B, Palm Desert, CA 92260

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

257 services182 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

166 services128 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

99 services76 patients

Complex repair of detached retina and drainage of eye fluid between lens and retina 67113

This procedure involves reattaching your detached retina, a vital layer at the back of your eye. Simultaneously, excess fluid between your lens and retina is drained. This helps restore vision and prevent further eye damage.

43 services32 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

28 services19 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

14 services12 patients

Other Providers at the Same Location NPPES 2

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

MRS. KIMBERLY AGUPITAN POWERS CRNA

Nurse Anesthetist, Certified Registered

44139 MONTEREY AVE STE B
PALM DESERT, CA 92260

Riverside County (760) 773-4411

IVANA MIRANDA

Nurse Anesthetist, Certified Registered

44139 MONTEREY AVE STE B
PALM DESERT, CA 92260

Riverside County (760) 773-4411

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 Renaissance ASC, LLC's NPI number?

The NPI number for Renaissance ASC, LLC is 1295072049. It was assigned to this organization in the NPPES registry on January 14, 2013.

Where is Renaissance ASC, LLC located?

Renaissance ASC, LLC is located at 44139 Monterey Ave Ste B, Palm Desert, CA 92260. The listed phone number is (760) 773-4411.

What is Renaissance ASC, LLC's specialty?

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

Does Renaissance ASC, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2059512) is associated with this NPI, valid through May 22, 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 Renaissance ASC, LLC was last updated on April 16, 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.