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OCOTILLO SURGERY CENTER LLC
NPI 1386280436
Clinic/Center - Ambulatory Surgical in Gilbert, AZ

Active since November 25, 2019CLIA 03D2176015 · Waiver
3920 S ROME STREET, GILBERT, AZ 85297(480) 597-4778 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2020, Mar 8, 2020, Nov 25, 2019 (3 updates tracked since 2019).

About Ocotillo Surgery Center Llc NPPES

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

OCOTILLO SURGERY CENTER LLC (NPI 1386280436) is a healthcare organization registered as an ambulatory surgical in Gilbert, Arizona and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through December 5, 2027 and lists Matthew Moore, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1386280436
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameOCOTILLO SURGERY CENTER LLC
Location Address3920 S ROME STREETGilbert, AZ 85297
Mailing Address1900 W Frye Rd Ste 1Chandler, AZ 85224-6235
Phone(480) 597-4778
Organization SubpartNo
Authorized OfficialMatthew MooreManaging Member · (480) 597-4778
Enumeration DateNovember 25, 2019
Last NPPES UpdateMarch 25, 20203 updates tracked since enumeration
NPPES CertifiedMarch 25, 2020
✔ NPI 1386280436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3920 S ROME STREET, Gilbert, AZ 85297
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

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 03D2176015

Ocotillo Surgery Center, LLC · Gilbert, AZ
Active · expires Dec 5, 2027
CLIA Number03D2176015
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorRhonda L. Phelan
Laboratory Phone(480) 734-8240
Laboratory LocationOcotillo Surgery Center, LLC3920 S Rome St, Gilbert, AZ 85297
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

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.
415 services249 patients
Injection, mitomycin, 5 mg J9280
Mitomycin injection is a medication used to treat certain types of cancer. It works by slowing or stopping the growth of cancer cells. The 5mg dosage refers to the amount of the active ingredient, Mitomycin, in the injection.
128 services13 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
116 services58 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
57 services37 patients
Dilation of fluid outflow drainage within eye 66174
Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.
40 services29 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
31 services16 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 Ocotillo Surgery Center LLC's NPI number?

The NPI number for Ocotillo Surgery Center LLC is 1386280436. It was assigned to this organization in the NPPES registry on November 25, 2019.

Where is Ocotillo Surgery Center LLC located?

Ocotillo Surgery Center LLC is located at 3920 S Rome Street, Gilbert, AZ 85297. The listed phone number is (480) 597-4778.

What is Ocotillo Surgery Center LLC's specialty?

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

Does Ocotillo Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2176015) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ocotillo Surgery Center LLC accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Ocotillo Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ocotillo Surgery Center LLC was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.