SAN GABRIEL AMBULATORY SURGERY CENTER, LP
NPI 1336213099
Clinic/Center - Ambulatory Surgical in Arcadia, CA

Active since November 17, 2006CLIA 05D1033049 · Waiver
288 N SANTA ANITA AVE STE 404, ARCADIA, CA 91006(626) 300-5300(626) 300-5355 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 3, 2023, Jan 18, 2023, Jun 7, 2021 and 1 more (4 updates tracked since 2019).

About San Gabriel Ambulatory Surgery Center, Lp NPPES

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

SAN GABRIEL AMBULATORY SURGERY CENTER, LP (NPI 1336213099) is a healthcare organization registered as an ambulatory surgical in Arcadia, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Tom Chang, Owner, as its authorized official.

NPPES Registry Identity

NPI1336213099
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSAN GABRIEL AMBULATORY SURGERY CENTER, LP
Location Address288 N SANTA ANITA AVE STE 404Arcadia, CA 91006-3183
Mailing Address288 N Santa Anita Ave Ste 404Arcadia, CA 91006-3183 · (626) 300-5300 · Fax (626) 300-5355
Fax(626) 300-5355
Organization SubpartNo
Authorized OfficialTom ChangOwner · (626) 676-0838
Enumeration DateNovember 17, 2006
Last NPPES UpdateFebruary 3, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2023
NPI 1336213099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in CA · 550000023
288 N SANTA ANITA AVE STE 404, Arcadia, CA 91006

Other Identifiers 1

MedicaidSUR01727FCA

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 05D1033049

San Gabriel Ambulatory Surgery Center, LP · Arcadia, CA
Active · expires Nov 2, 2026
CLIA Number05D1033049
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorMichael Davis
Laboratory Phone(626) 300-5300
Laboratory LocationSan Gabriel Ambulatory Surgery Center, LP288 N Santa Anita Ave Ste 404, Arcadia, CA 91006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.
194 services151 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
155 services127 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
96 services68 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.
73 services58 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
40 services35 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
28 services26 patients

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 San Gabriel Ambulatory Surgery Center, LP's NPI number?

The NPI number for San Gabriel Ambulatory Surgery Center, LP is 1336213099. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is San Gabriel Ambulatory Surgery Center, LP located?

San Gabriel Ambulatory Surgery Center, LP is located at 288 N Santa Anita Ave Ste 404, Arcadia, CA 91006. The listed phone number is (626) 300-5300.

What is San Gabriel Ambulatory Surgery Center, LP's specialty?

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

Does San Gabriel Ambulatory Surgery Center, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1033049) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Gabriel Ambulatory Surgery Center, LP was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.