CARMEL VALLEY SURGICAL CENTER LLC
NPI 1417399411
Clinic/Center - Ambulatory Surgical in San Diego, CA

Active since July 19, 2013CLIA 05D2069802 · Waiver
11943 EL CAMINO REAL, SUITE 100, SAN DIEGO, CA 92130(858) 259-3223(858) 259-3221 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carmel Valley Surgical Center Llc NPPES

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

CARMEL VALLEY SURGICAL CENTER LLC (NPI 1417399411) is a healthcare organization registered as an ambulatory surgical in San Diego, California and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through December 2, 2027 and lists Amir M Karam, Ownder, as its authorized official.

NPPES Registry Identity

NPI1417399411
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCARMEL VALLEY SURGICAL CENTER LLC
Location Address11943 EL CAMINO REAL, SUITE 100San Diego, CA 92130-2597
Mailing Address11943 El Camino Real, Suite 100San Diego, CA 92130-2597 · (858) 259-3223 · Fax (858) 259-3221
Fax(858) 259-3221
Organization SubpartYesParent: Amir M. Karam Inc.
Authorized OfficialAmir M KaramOwnder · (858) 259-3223
Enumeration DateJuly 19, 2013
NPI 1417399411 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 · A82484
11943 EL CAMINO REAL, San Diego, CA 92130

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 05D2069802

Carmel Valley Surgical Center · San Diego, CA
Active · expires Dec 2, 2027
CLIA Number05D2069802
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorAmir M. Karam, MD
Laboratory Phone(858) 259-3223
Laboratory LocationCarmel Valley Surgical Center11943 El Camino Real, Suite 100A, San Diego, CA 92130
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Clinic/Center (Ambulatory Surgical)
11943 EL CAMINO REAL, SUITE 100
SAN DIEGO, CA 92130
Dentist (Pediatric Dentistry)
11943 EL CAMINO REAL, STE 200
SAN DIEGO, CA 92130

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 Carmel Valley Surgical Center LLC's NPI number?

The NPI number for Carmel Valley Surgical Center LLC is 1417399411. It was assigned to this organization in the NPPES registry on July 19, 2013.

Where is Carmel Valley Surgical Center LLC located?

Carmel Valley Surgical Center LLC is located at 11943 El Camino Real Suite 100, San Diego, CA 92130. The listed phone number is (858) 259-3223.

What is Carmel Valley Surgical Center LLC's specialty?

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

Does Carmel Valley Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2069802) is associated with this NPI, valid through December 2, 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 Carmel Valley Surgical Center LLC was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.