1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Surgery
  6. NPI Profile

SIERRA SURGERY CENTER, LLC
NPI 1669180659
Surgery - Plastic and Reconstructive Surgery in Las Vegas, NV

Active since November 09, 2022CLIA 29D2272720 · Waiver
5824 S DURANGO DR STE 130, LAS VEGAS, NV 89113(702) 340-9994 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2025, Nov 9, 2022 (2 updates tracked since 2022).

About Sierra Surgery Center, Llc NPPES

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

SIERRA SURGERY CENTER, LLC (NPI 1669180659) is a healthcare organization registered as a plastic and reconstructive surgery in Las Vegas, Nevada and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through November 27, 2026 and lists Olivia Santiago, Administrator, as its authorized official.

NPPES Registry Identity

NPI1669180659
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameSIERRA SURGERY CENTER, LLC
Location Address5824 S DURANGO DR STE 130Las Vegas, NV 89113-2314
Mailing Address870 Seven Hills Dr Ste 101Henderson, NV 89052-4378 · (702) 340-9994
Phone(702) 340-9994
Organization SubpartNo
Authorized OfficialOlivia SantiagoAdministrator · (702) 780-4327
Enumeration DateNovember 9, 2022
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1669180659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
5824 S DURANGO DR STE 130, Las Vegas, NV 89113
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 29D2272720

Sierra Surgery Center, LLC · Las Vegas, NV
Active · expires Nov 27, 2026
CLIA Number29D2272720
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorChristopher Russell Costa
Laboratory Phone(725) 600-9333
Laboratory LocationSierra Surgery Center, LLC5824 S Durango Dr Suite 130, Las Vegas, NV 89113
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Sierra Surgery Center, LLC's NPI number?

The NPI number for Sierra Surgery Center, LLC is 1669180659. It was assigned to this organization in the NPPES registry on November 9, 2022.

Where is Sierra Surgery Center, LLC located?

Sierra Surgery Center, LLC is located at 5824 S Durango Dr Ste 130, Las Vegas, NV 89113. The listed phone number is (702) 340-9994.

What is Sierra Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Does Sierra Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2272720) is associated with this NPI, valid through November 27, 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 Sierra Surgery Center, LLC was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.