SAN BERNARDINO EYE SURGERY CENTER LLC
NPI 1487608071
Clinic/Center - Ambulatory Surgical in Colton, CA

Active since May 19, 2006CLIA 05D0718556 · Waiver
1900 E WASHINGTON ST, COLTON, CA 92324(909) 825-3425(909) 825-6991 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Feb 21, 2020, Oct 8, 2019 (3 updates tracked since 2019).

About San Bernardino Eye Surgery Center Llc NPPES

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

SAN BERNARDINO EYE SURGERY CENTER LLC (NPI 1487608071), doing business as The Eye Surgery Center, is a healthcare organization registered as an ambulatory surgical in Colton, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Clifton Chad Bazhaw, Chief Revenue Officer, as its authorized official.

NPPES Registry Identity

NPI1487608071
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSAN BERNARDINO EYE SURGERY CENTER LLC
Location Address1900 E WASHINGTON STColton, CA 92324-4614
Mailing Address1900 E Washington StColton, CA 92324-4614 · (909) 825-3425 · Fax (909) 825-6991
Fax(909) 825-6991
Organization SubpartNo
Authorized OfficialClifton Chad BazhawChief Revenue Officer · (214) 893-0471
Enumeration DateMay 19, 2006
Last NPPES UpdateMay 28, 20263 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1487608071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1900 E WASHINGTON ST, Colton, CA 92324

Other Names 1

Doing Business AsThe Eye Surgery Center

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 05D0718556

San Bernardino Eye Surgery Center, LLC · Colton, CA
Active · expires Aug 31, 2026
CLIA Number05D0718556
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohn Kim MD
Laboratory Phone(909) 825-8002
Laboratory LocationSan Bernardino Eye Surgery Center, LLC1900 E Washington Street, Colton, CA 92324
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.
332 services257 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
62 services55 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
59 services52 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
32 services16 patients
Destruction of lens tissue using laser 66710
Destruction of lens tissue using a laser is a medical procedure aimed at treating eye conditions like cataracts. A laser is employed to break down the affected lens tissue, which is then removed. This allows the insertion of an artificial lens to improve vision.
15 services14 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
15 services13 patients

Other Providers at the Same Location NPPES 6

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

Ophthalmology
1900 E WASHINGTON ST
COLTON, CA 92324
Nurse Anesthetist, Certified Registered
1900 E WASHINGTON ST
COLTON, CA 92324
Ophthalmology
1900 E WASHINGTON ST
COLTON, CA 92324
Ophthalmology
1900 E WASHINGTON ST
COLTON, CA 92324
Clinic/Center (Ophthalmologic Surgery)
1900 E WASHINGTON ST
COLTON, CA 92324
Ophthalmology
1900 E WASHINGTON ST
COLTON, CA 92324

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 San Bernardino Eye Surgery Center LLC's NPI number?

The NPI number for San Bernardino Eye Surgery Center LLC is 1487608071. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as The Eye Surgery Center.

Where is San Bernardino Eye Surgery Center LLC located?

San Bernardino Eye Surgery Center LLC is located at 1900 E Washington St, Colton, CA 92324. The listed phone number is (909) 825-3425.

What is San Bernardino Eye Surgery Center LLC's specialty?

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

Does San Bernardino Eye Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0718556) is associated with this NPI, valid through August 31, 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 San Bernardino Eye Surgery Center LLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.