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REAGAN STREET SURGERY CENTER, LLC
NPI 1447213954
Clinic/Center - Ambulatory Surgical in Los Alamitos, CA

Active since April 07, 2006CLIA 05D1046415 · Waiver
10904 REAGAN ST, LOS ALAMITOS, CA 90720(562) 596-3140(562) 596-3142 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2024, Aug 14, 2020, Jun 4, 2019 and 1 more (4 updates tracked since 2017).

About Reagan Street Surgery Center, Llc NPPES

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

REAGAN STREET SURGERY CENTER, LLC (NPI 1447213954) is a healthcare organization registered as an ambulatory surgical in Los Alamitos, California and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Eric Boon, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1447213954
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameREAGAN STREET SURGERY CENTER, LLC
Location Address10904 REAGAN STLos Alamitos, CA 90720-2435
Mailing Address14201 Dallas PkwyDallas, TX 75254-2916 · (972) 763-3859 · Fax (562) 596-3142
Phone(562) 596-3140
Fax(562) 596-3142
Organization SubpartNo
Authorized OfficialEric BoonOfficer/authorized Official · (480) 567-0269
Enumeration DateApril 7, 2006
Last NPPES UpdateOctober 11, 20244 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1447213954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
10904 REAGAN ST, Los Alamitos, CA 90720
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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 05D1046415

Reagan Street Surgery Center · Los Alamitos, CA
Active · expires Oct 6, 2027
CLIA Number05D1046415
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorJames Nguyen
Laboratory Phone(562) 596-3140
Laboratory LocationReagan Street Surgery Center10904 Reagan St, Los Alamitos, CA 90720
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.

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.
116 services78 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
109 services109 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
106 services103 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
75 services74 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
69 services68 patients
Complete laser vaporization of prostate including control of bleeding using an endoscope 52648
This procedure involves using a special light instrument to carefully remove tissue from a gland located in the lower body. This helps improve the flow of body fluids. The process is done through a tube-like device and also controls any bleeding.
17 services16 patients

Other Providers at the Same Location NPPES 3

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

DALIA JENNIFER GOURGY M.D.
Anesthesiology
10904 REAGAN ST
LOS ALAMITOS, CA 90720
Orange County (562) 596-3140
TALBERT ANESTHESIA GROUP INCORPORATED
Anesthesiology
10904 REAGAN ST
LOS ALAMITOS, CA 90720
Orange County (562) 596-3140
DR. THOMAS T. NGUYEN M.D.
Anesthesiology
10904 REAGAN ST
LOS ALAMITOS, CA 90720
Orange County (562) 596-3140

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 Reagan Street Surgery Center, LLC's NPI number?

The NPI number for Reagan Street Surgery Center, LLC is 1447213954. It was assigned to this organization in the NPPES registry on April 7, 2006.

Where is Reagan Street Surgery Center, LLC located?

Reagan Street Surgery Center, LLC is located at 10904 Reagan St, Los Alamitos, CA 90720. The listed phone number is (562) 596-3140.

What is Reagan Street Surgery Center, LLC's specialty?

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

Does Reagan Street Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1046415) is associated with this NPI, valid through October 6, 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 Reagan Street Surgery Center, LLC was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.