TEMPE ADVANCED SURGERY CENTER PLLC
NPI 1558076224
Clinic/Center - Ambulatory Surgical in Mesa, AZ

Active since January 17, 2023CLIA 03D1077043 · Waiver
4860 E BASELINE RD STE 101, MESA, AZ 85206(480) 485-8585(480) 302-7818 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Jan 17, 2023 (2 updates tracked since 2023).

About Tempe Advanced Surgery Center Pllc NPPES

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

TEMPE ADVANCED SURGERY CENTER PLLC (NPI 1558076224) is a healthcare organization registered as an ambulatory surgical in Mesa, Arizona and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through November 28, 2027 and lists John James Debarros, Owner, as its authorized official.

NPPES Registry Identity

NPI1558076224
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTEMPE ADVANCED SURGERY CENTER PLLC
Location Address4860 E BASELINE RD STE 101Mesa, AZ 85206-4670
Mailing Address4860 E Baseline Rd Ste 101Mesa, AZ 85206-4670 · (480) 485-8585 · Fax (480) 302-7818
Fax(480) 302-7818
Organization SubpartNo
Authorized OfficialJohn James DebarrosOwner · (480) 292-5145
Enumeration DateJanuary 17, 2023
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1558076224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4860 E BASELINE RD STE 101, Mesa, AZ 85206

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 03D1077043

Tempe Advanced Surgery Center · Tempe, AZ
Active · expires Nov 28, 2027
CLIA Number03D1077043
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorLaura Vidale
Laboratory Phone(480) 485-8585
Laboratory LocationTempe Advanced Surgery Center1855 E Southern Ave, Tempe, AZ 85285
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center (Ambulatory Surgical)
4860 E BASELINE RD STE 101
MESA, AZ 85206

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 Tempe Advanced Surgery Center PLLC's NPI number?

The NPI number for Tempe Advanced Surgery Center PLLC is 1558076224. It was assigned to this organization in the NPPES registry on January 17, 2023.

Where is Tempe Advanced Surgery Center PLLC located?

Tempe Advanced Surgery Center PLLC is located at 4860 E Baseline Rd Ste 101, Mesa, AZ 85206. The listed phone number is (480) 485-8585.

What is Tempe Advanced Surgery Center PLLC's specialty?

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

Does Tempe Advanced Surgery Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1077043) is associated with this NPI, valid through November 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 Tempe Advanced Surgery Center PLLC was last updated on August 30, 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.