SIERRA SURGERY CENTER, LLC
NPI 1669180659
Surgery - Plastic and Reconstructive Surgery in Las Vegas, NV
- Organization
- Surgery
- Plastic and Reconstructive Surgery
- CLIA Number: 29D2272720
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 11-27-2026
About SIERRA SURGERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for Sierra Surgery Center, Llc, a provider established in Las Vegas, Nevada operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1669180659 assigned on November 2022. The practitioner's primary taxonomy code is 2086S0122X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Olivia Santiago (Administrator)
- NPI
- 1669180659 Verify this NPI
- Provider Name
- SIERRA SURGERY CENTER, LLC
- Entity Type
- Organization
- Location Address
- 5824 S DURANGO DR STE 130 LAS VEGAS, NV 89113
- Location Phone
- (702) 340-9994
- Mailing Address
- 870 SEVEN HILLS DR STE 101 HENDERSON, NV 89052
- Mailing Phone
- (702) 340-9994
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-09-2022
- Last Update Date
- 04-03-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Plastic and Reconstructive Surgery
- Taxonomy Code
- 2086S0122X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon who specializes in plastic and reconstructive surgery.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 29D2272720
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- November 28, 2024
- Certificate Expiration Date
- November 27, 2026
- Laboratory Director
- CHRISTOPHER RUSSELL COSTA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sierra Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669180659, enumerated as an "organization" on November 09, 2022.
The provider is located at 5824 S DURANGO DR STE 130 LAS VEGAS, NV 89113 and the phone number is (702) 340-9994.
Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.
