PALM BLUFFS SURGERY CENTER LLC
NPI 1316674518
Clinic/Center - Ambulatory Surgical in Fresno, CA
About Palm Bluffs Surgery Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PALM BLUFFS SURGERY CENTER LLC (NPI 1316674518) is a healthcare organization registered as an ambulatory surgical in Fresno, California and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through January 17, 2028, maintains a secondary practice location in Fresno, and lists Jordan David Prieto, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 05D2297651
Palm Bluffs Surgery Center LLC · Fresno, CAFrequently 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 Palm Bluffs Surgery Center LLC's NPI number?
The NPI number for Palm Bluffs Surgery Center LLC is 1316674518. It was assigned to this organization in the NPPES registry on August 7, 2022.
Where is Palm Bluffs Surgery Center LLC located?
Palm Bluffs Surgery Center LLC is located at 7766 N Palm Ave # 104, Fresno, CA 93711. The listed phone number is (559) 439-5300.
What is Palm Bluffs Surgery Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Palm Bluffs Surgery Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2297651) is associated with this NPI, valid through January 17, 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 Palm Bluffs Surgery Center LLC was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Palm Bluffs Surgery Center Llc · NPI 1316674518
Ambulatory Surgical organization in Fresno, California. Organization record, active in the CMS NPPES registry since August 7, 2022.
## Identity
- **NPI:** 1316674518 (Entity type: Organization)
- **Enumerated:** August 7, 2022
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Jordan Prieto, OWNER
## Practice location
- **Address:** 7766 N PALM AVE # 104, Fresno, CA 93711-5734
- **Phone:** (559) 439-5300
## Record status
- **NPPES last updated:** April 2, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316674518) · Data from the CMS NPPES public registry.