INNOVATIVE SURGERY CENTER LLC
NPI 1740692730
Clinic/Center - Multi-Specialty in San Diego, CA

Active since May 23, 2014CLIA 05D2098776 · Waiver
6610 FLANDERS DR, SUITE 100, SAN DIEGO, CA 92121(858) 457-2888 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Innovative Surgery Center Llc NPPES

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

INNOVATIVE SURGERY CENTER LLC (NPI 1740692730) is a healthcare organization registered as a multi-specialty in San Diego, California and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through July 13, 2027 and lists Khang Thai Nguyen, President, as its authorized official.

NPPES Registry Identity

NPI1740692730
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameINNOVATIVE SURGERY CENTER LLC
Location Address6610 FLANDERS DR, SUITE 100San Diego, CA 92121-3940
Mailing Address6610 Flanders Dr, Suite 100San Diego, CA 92121-3940 · (858) 457-2888
Organization SubpartNo
Authorized OfficialKhang Thai NguyenPresident · (858) 457-2888
Enumeration DateMay 23, 2014
Last NPPES UpdateJuly 21, 2015
NPI 1740692730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License Licensed in CA · A90876
6610 FLANDERS DR, San Diego, CA 92121

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 05D2098776

Innovative Surgery Center LLC · San Diego, CA
Active · expires Jul 13, 2027
CLIA Number05D2098776
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorKhang T. Nguyen
Laboratory Phone(858) 869-4433
Laboratory LocationInnovative Surgery Center LLC6610 Flanders Dr Ste 100, San Diego, CA 92121
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Plastic Surgery
6610 FLANDERS DR, SUITE 101
SAN DIEGO, CA 92121
Clinic/Center (Ambulatory Surgical)
6610 FLANDERS DR, SUITE 100
SAN DIEGO, CA 92121

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 Innovative Surgery Center LLC's NPI number?

The NPI number for Innovative Surgery Center LLC is 1740692730. It was assigned to this organization in the NPPES registry on May 23, 2014.

Where is Innovative Surgery Center LLC located?

Innovative Surgery Center LLC is located at 6610 Flanders Dr Suite 100, San Diego, CA 92121. The listed phone number is (858) 457-2888.

What is Innovative Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Innovative Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2098776) is associated with this NPI, valid through July 13, 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 Innovative Surgery Center LLC was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.