DELTA SHORES SURGERY CENTER LLC
NPI 1457232266
Clinic/Center - Ambulatory Surgical in Stockton, CA
About Delta Shores Surgery Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DELTA SHORES SURGERY CENTER LLC (NPI 1457232266) is a healthcare organization registered as an ambulatory surgical in Stockton, California and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Andrew Layne Vargas, Medical Director, 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 05D2333088
Delta Shores Surgery Center LLC · Stockton, 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.
STOCKTON, CA 95204
STOCKTON, CA 95204
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 Delta Shores Surgery Center LLC's NPI number?
The NPI number for Delta Shores Surgery Center LLC is 1457232266. It was assigned to this organization in the NPPES registry on September 9, 2025.
Where is Delta Shores Surgery Center LLC located?
Delta Shores Surgery Center LLC is located at 1805 N California St Ste 405, Stockton, CA 95204. The listed phone number is (818) 855-1507.
What is Delta Shores Surgery Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Delta Shores Surgery Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2333088) is associated with this NPI, valid through October 28, 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 Delta Shores Surgery Center LLC was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Delta Shores Surgery Center Llc · NPI 1457232266
Ambulatory Surgical organization in Stockton, California. Organization record, active in the CMS NPPES registry since September 9, 2025.
## Identity
- **NPI:** 1457232266 (Entity type: Organization)
- **Enumerated:** September 9, 2025
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Andrew Vargas, MEDICAL DIRECTOR
## Practice location
- **Address:** 1805 N CALIFORNIA ST STE 405, Stockton, CA 95204-6033
- **Phone:** (818) 855-1507
## Record status
- **NPPES last updated:** September 9, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457232266) · Data from the CMS NPPES public registry.