CANYON RIDGE SURGERY CENTER
NPI 1417653957
Clinic/Center - Ambulatory Surgical in Las Vegas, NV
About Canyon Ridge Surgery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANYON RIDGE SURGERY CENTER (NPI 1417653957) is a healthcare organization registered as an ambulatory surgical in Las Vegas, Nevada and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through September 14, 2026 and lists Grant Cook, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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 29D2268726
Canyon Ridge Surgery Center · Las Vegas, NVOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89113
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 Sunset Pain Surgery Center's NPI number?
The NPI number for Sunset Pain Surgery Center is 1417653957. It was assigned to this organization in the NPPES registry on February 6, 2023. The provider is doing business as Canyon Ridge Surgery Center.
Where is Sunset Pain Surgery Center located?
Sunset Pain Surgery Center is located at 5852 S Durango Dr Ste 100, Las Vegas, NV 89113. The listed phone number is (702) 936-3669.
What is Sunset Pain Surgery Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Sunset Pain Surgery Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 29D2268726) is associated with this NPI, valid through September 14, 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 Sunset Pain Surgery Center was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Canyon Ridge Surgery Center · NPI 1417653957
Ambulatory Surgical organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since February 6, 2023.
## Identity
- **NPI:** 1417653957 (Entity type: Organization)
- **Enumerated:** February 6, 2023
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** Sunset Pain Surgery Center
- **Organization subpart:** No
- **Authorized official:** Grant Cook, MANAGER
## Practice location
- **Address:** 5852 S DURANGO DR STE 100, Las Vegas, NV 89113-2317
- **Phone:** (702) 936-3669
## Record status
- **NPPES last updated:** November 29, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1417653957) · Data from the CMS NPPES public registry.