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SURGERY CENTER OF SAN DIEGO, LLC
NPI 1902438112
Clinic/Center - Ambulatory Surgical in San Diego, CA

Active since February 05, 2020
3434 MIDWAY DR STE 1008, SAN DIEGO, CA 92110(858) 432-7899(858) 432-7868 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Mar 5, 2020, Feb 13, 2020 and 1 more (4 updates tracked since 2020).

About Surgery Center Of San Diego, Llc NPPES

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

SURGERY CENTER OF SAN DIEGO, LLC (NPI 1902438112) is a healthcare organization registered as an ambulatory surgical in San Diego, California and active in the NPI registry since February 2020. The organization lists Clayton A Varga, Manager, as its authorized official.

NPPES Registry Identity

NPI1902438112
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER OF SAN DIEGO, LLC
Location Address3434 MIDWAY DR STE 1008San Diego, CA 92110-4924
Mailing Address10565 Civic Center Dr Ste 250Rancho Cucamonga, CA 91730-3854 · (858) 432-7899 · Fax (858) 432-7868
Phone(858) 432-7899
Fax(858) 432-7868
Organization SubpartNo
Authorized OfficialClayton A VargaManager · (626) 696-1400
Enumeration DateFebruary 5, 2020
Last NPPES UpdateMarch 17, 20254 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1902438112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3434 MIDWAY DR STE 1008, San Diego, CA 92110
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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 05D2189029

Surgery Center Of San Diego LLC · San Diego, CA
Expired · Jul 23, 2026
CLIA Number05D2189029
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 24, 2024
Certificate Expiration DateJuly 23, 2026
Laboratory DirectorHenry A. Richardson
Laboratory Phone(858) 432-7899
Laboratory LocationSurgery Center Of San Diego LLC3434 Midway Drive Suite 1008, San Diego, CA 92110
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 2

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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
30 services14 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
21 services17 patients

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.

SAN DIEGO PREMIER SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
3434 MIDWAY DR STE 1008
SAN DIEGO, CA 92110
San Diego County (818) 855-1507
SAN DIEGO ANESTHESIA LLC
Legal Medicine
3434 MIDWAY DR STE 1008
SAN DIEGO, CA 92110
San Diego County (310) 273-8885

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 Surgery Center Of San Diego, LLC's NPI number?

The NPI number for Surgery Center Of San Diego, LLC is 1902438112. It was assigned to this organization in the NPPES registry on February 5, 2020.

Where is Surgery Center Of San Diego, LLC located?

Surgery Center Of San Diego, LLC is located at 3434 Midway Dr Ste 1008, San Diego, CA 92110. The listed phone number is (858) 432-7899.

What is Surgery Center Of San Diego, 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 Surgery Center Of San Diego, LLC was last updated on March 17, 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.