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OTAY LAKES SURGERY CENTER, LLC
NPI 1376595421
Clinic/Center - Ambulatory Surgical in Chula Vista, CA

Active since May 17, 2006CLIA 05D1058226 · Waiver
955 LANE AVE, SUITE 100, CHULA VISTA, CA 91914(619) 754-2260(619) 754-2261 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Otay Lakes Surgery Center, Llc NPPES

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

OTAY LAKES SURGERY CENTER, LLC (NPI 1376595421) is a healthcare organization registered as an ambulatory surgical in Chula Vista, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists Gary Kurth, Vp Operations And Administration, as its authorized official.

NPPES Registry Identity

NPI1376595421
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameOTAY LAKES SURGERY CENTER, LLC
Location Address955 LANE AVE, SUITE 100Chula Vista, CA 91914-3501
Mailing Address955 Lane Ave, Suite 100Chula Vista, CA 91914-3501 · (619) 754-2260 · Fax (619) 754-2261
Phone(619) 754-2260
Fax(619) 754-2261
Organization SubpartNo
Authorized OfficialGary KurthVp Operations And Administration · (619) 754-2260
Enumeration DateMay 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376595421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
955 LANE AVE, Chula Vista, CA 91914
Open in Google Maps ↗

Other Identifiers 1

MedicaidSUR01779FCA

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 05D1058226

Otay Lakes Surgery Center, LLC · Chula Vista, CA
Active · expires Aug 30, 2026
CLIA Number05D1058226
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorBryce Kim
Laboratory Phone(619) 754-2260
Laboratory LocationOtay Lakes Surgery Center, LLC955 Lane Ave, Suite 100, Chula Vista, CA 91914
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 8

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.

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.
98 services57 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.
86 services33 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
60 services45 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
35 services23 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
26 services17 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.
22 services18 patients

Other Providers at the Same Location NPPES 14

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

LENIHAN SELECKY ORTHOPAEDICS
Specialist
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914
San Diego County (619) 421-3400
MANUAL ORTHOPEDIC PHYSICAL THERAPY INC
Physical Therapist
955 LANE AVE, 201
CHULA VISTA, CA 91914
San Diego County (619) 421-9521
DR. ERIC PAUL HOFMEISTER MD
Orthopaedic Surgery (Hand Surgery)
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914
San Diego County (619) 421-3400
HARBINDER S CHADHA M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914
San Diego County (619) 421-3400
SYNERGY ORTHOPEDIC SPECIALISTS, INC.
Specialist
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914
San Diego County (619) 421-3400
MARK T SELECKY M.D.
Orthopaedic Surgery (Sports Medicine)
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914
San Diego County (619) 421-3400
MICHAEL R LENIHAN M.D.
Orthopaedic Surgery
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914
San Diego County (619) 421-3400
JOSEPH EDWARD BAILEY PT
Physical Therapist
955 LANE AVE, #201
CHULA VISTA, CA 91914
San Diego County (619) 421-9521

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 Otay Lakes Surgery Center, LLC's NPI number?

The NPI number for Otay Lakes Surgery Center, LLC is 1376595421. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Otay Lakes Surgery Center, LLC located?

Otay Lakes Surgery Center, LLC is located at 955 Lane Ave Suite 100, Chula Vista, CA 91914. The listed phone number is (619) 754-2260.

What is Otay Lakes Surgery Center, LLC's specialty?

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

Does Otay Lakes Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1058226) is associated with this NPI, valid through August 30, 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 Otay Lakes Surgery Center, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.