1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Clinic Center
  6. NPI Profile

LAKE PLEASANT SURGICAL CENTER LLC
NPI 1902403736
Clinic/Center - Ambulatory Surgical in Phoenix, AZ

Active since October 05, 2020
15601 N 28TH AVE STE 101, PHOENIX, AZ 85053(602) 237-6340 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 24, 2022, Oct 5, 2020 (2 updates tracked since 2020).

About Lake Pleasant Surgical Center Llc NPPES

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

LAKE PLEASANT SURGICAL CENTER LLC (NPI 1902403736) is a healthcare organization registered as an ambulatory surgical in Phoenix, Arizona and active in the NPI registry since October 2020. The organization lists Thomas Moshiri, Manager, as its authorized official.

NPPES Registry Identity

NPI1902403736
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLAKE PLEASANT SURGICAL CENTER LLC
Location Address15601 N 28TH AVE STE 101Phoenix, AZ 85053-4061
Mailing Address10810 N Tatum Blvd Ste 102-855Phoenix, AZ 85028-6055
Phone(602) 237-6340
Organization SubpartNo
Authorized OfficialThomas MoshiriManager · (602) 441-3573
Enumeration DateOctober 5, 2020
Last NPPES UpdateFebruary 24, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
✔ NPI 1902403736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
15601 N 28TH AVE STE 101, Phoenix, AZ 85053
Open in Google Maps ↗

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.

VALLEY SURGICAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
15601 N 28TH AVE STE 101
PHOENIX, AZ 85053
Maricopa County (602) 863-6363
SALT RIVER SURGICAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
15601 N 28TH AVE STE 101
PHOENIX, AZ 85053
Maricopa County (602) 441-3573

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 Lake Pleasant Surgical Center LLC's NPI number?

The NPI number for Lake Pleasant Surgical Center LLC is 1902403736. It was assigned to this organization in the NPPES registry on October 5, 2020.

Where is Lake Pleasant Surgical Center LLC located?

Lake Pleasant Surgical Center LLC is located at 15601 N 28th Ave Ste 101, Phoenix, AZ 85053. The listed phone number is (602) 237-6340.

What is Lake Pleasant Surgical Center LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Pleasant Surgical Center LLC was last updated on February 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.