ADVANCED AMBULATORY SURGERY CENTER ONE, LLC
NPI 1710509880
Clinic/Center - Ambulatory Surgical in Surprise, AZ
About Advanced Ambulatory Surgery Center One, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED AMBULATORY SURGERY CENTER ONE, LLC (NPI 1710509880) is a healthcare organization registered as an ambulatory surgical in Surprise, Arizona and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists Jason Lee Mussman, Owner, 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 03D2184403
Advanced Ambulatory Surgery Center One LLC · Surprise, AZAreas of Expertise CMS Part B claims
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.
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 Advanced Ambulatory Surgery Center One, LLC's NPI number?
The NPI number for Advanced Ambulatory Surgery Center One, LLC is 1710509880. It was assigned to this organization in the NPPES registry on May 12, 2020.
Where is Advanced Ambulatory Surgery Center One, LLC located?
Advanced Ambulatory Surgery Center One, LLC is located at 14753 W Mountain View Blvd, Surprise, AZ 85374. The listed phone number is (623) 243-9077.
What is Advanced Ambulatory Surgery Center One, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Advanced Ambulatory Surgery Center One, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2184403) is associated with this NPI, valid through May 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Advanced Ambulatory Surgery Center One, LLC was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Advanced Ambulatory Surgery Center One, Llc · NPI 1710509880
Ambulatory Surgical organization in Surprise, Arizona. Organization record, active in the CMS NPPES registry since May 12, 2020.
## Identity
- **NPI:** 1710509880 (Entity type: Organization)
- **Enumerated:** May 12, 2020
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Jason Mussman, OWNER
## Practice location
- **Address:** 14753 W MOUNTAIN VIEW BLVD, Surprise, AZ 85374
- **Phone:** (623) 243-9077
## Record status
- **NPPES last updated:** May 2, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710509880) · Data from the CMS NPPES public registry.