RAYMOND RENAISSANCE SURGERY CENTER LLC
NPI 1871939082
Clinic/Center - Ambulatory Surgical in Pasadena, CA

Q: What is Raymond Renaissance Surgery Center LLC's specialty?

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

Active since May 14, 2013CLIA 05D2079922 · Waiver

125 N RAYMOND AVE SUITE 212, PASADENA, CA 91105(626) 529-3937(626) 529-3844 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 30, 2017 (2 updates tracked since 2017).

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About Raymond Renaissance Surgery Center Llc NPPES

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

RAYMOND RENAISSANCE SURGERY CENTER LLC (NPI 1871939082) is a healthcare organization registered as an ambulatory surgical in Pasadena, California and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through June 25, 2028 and lists Khaled Tawansy, Owner, as its authorized official.

NPPES Registry Identity

NPI1871939082

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameRAYMOND RENAISSANCE SURGERY CENTER LLC

Location Address125 N RAYMOND AVE SUITE 212Pasadena, CA 91105-4535

Mailing Address7447 N Figueroa St Suite 200Los Angeles, CA 90041 · (626) 529-3937 · Fax (626) 529-3844

Phone(626) 529-3937

Fax(626) 529-3844

Organization SubpartNo

Authorized OfficialKhaled TawansyOwner · (323) 257-3300

Enumeration DateMay 14, 2013

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1871939082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

125 N RAYMOND AVE SUITE 212, Pasadena, CA 91105

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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 05D2079922

Raymond Renaissance Surgery Center · Pasadena, CA

Active · expires Jun 25, 2028

CLIA Number05D2079922

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJune 26, 2026

Certificate Expiration DateJune 25, 2028

Laboratory DirectorKhaled Tawansy

Laboratory Phone(626) 529-3937

Laboratory LocationRaymond Renaissance Surgery Center125 N Raymond Ave, Ste 212, Pasadena, CA 91105

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

195 services145 patients

Destruction of eye fluid (vitreous) between lens and retina using a laser 67039

This procedure involves applying a laser to the eye's vitreous fluid, located between the lens and retina. The laser's heat destroys the vitreous, helping to treat specific eye conditions. The process is safe, typically painless, and can significantly improve vision quality.

53 services47 patients

Removal of membrane of retina 67041

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

48 services45 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

32 services28 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

24 services22 patients

Complex repair of detached retina and drainage of eye fluid between lens and retina 67113

This procedure involves reattaching your detached retina, a vital layer at the back of your eye. Simultaneously, excess fluid between your lens and retina is drained. This helps restore vision and prevent further eye damage.

23 services18 patients

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 Raymond Renaissance Surgery Center LLC's NPI number?

The NPI number for Raymond Renaissance Surgery Center LLC is 1871939082. It was assigned to this organization in the NPPES registry on May 14, 2013.

Where is Raymond Renaissance Surgery Center LLC located?

Raymond Renaissance Surgery Center LLC is located at 125 N Raymond Ave Suite 212, Pasadena, CA 91105. The listed phone number is (626) 529-3937.

What is Raymond Renaissance Surgery Center LLC's specialty?

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

Does Raymond Renaissance Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2079922) is associated with this NPI, valid through June 25, 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 Raymond Renaissance Surgery Center LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.