SPRUCE SURGERY CENTER LLC
NPI 1457073322
Clinic/Center - Ambulatory Surgical in Rancho Cucamonga, CA
About Spruce Surgery Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPRUCE SURGERY CENTER LLC (NPI 1457073322) is a healthcare organization registered as an ambulatory surgical in Rancho Cucamonga, California and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through May 30, 2027 and lists Della Bennett, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 05D2283077
Spruce Surgery Center · Rancho Cucamonga, CAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
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 Spruce Surgery Center LLC's NPI number?
The NPI number for Spruce Surgery Center LLC is 1457073322. It was assigned to this organization in the NPPES registry on September 16, 2022.
Where is Spruce Surgery Center LLC located?
Spruce Surgery Center LLC is located at 10888 Foothill Blvd, Rancho Cucamonga, CA 91730. The listed phone number is (909) 463-0715.
What is Spruce Surgery Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Spruce Surgery Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2283077) is associated with this NPI, valid through May 30, 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 Spruce Surgery Center LLC was last updated on September 30, 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.
# Spruce Surgery Center Llc · NPI 1457073322
Ambulatory Surgical organization in Rancho Cucamonga, California. Organization record, active in the CMS NPPES registry since September 16, 2022.
## Identity
- **NPI:** 1457073322 (Entity type: Organization)
- **Enumerated:** September 16, 2022
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Della Bennett, PRESIDENT
## Practice location
- **Address:** 10888 FOOTHILL BLVD, Rancho Cucamonga, CA 91730-7651
- **Phone:** (909) 463-0715
## Record status
- **NPPES last updated:** September 30, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1457073322) · Data from the CMS NPPES public registry.