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FULLERTON SURGICAL CENTER
NPI 1962423574
Clinic/Center - Ambulatory Surgical in Fullerton, CA

Active since July 21, 2006CLIA 05D1027424 · Waiver
2240 NORTH HARBOR BLVD., SUITE 100, FULLERTON, CA 92835(714) 870-8300(714) 870-8301 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fullerton Surgical Center NPPES

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

FULLERTON SURGICAL CENTER (NPI 1962423574) is a healthcare organization registered as an ambulatory surgical in Fullerton, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 28, 2028 and lists Phillip A Clendenin, President Of Lp, as its authorized official.

NPPES Registry Identity

NPI1962423574
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFULLERTON SURGICAL CENTER, LP
Location Address2240 NORTH HARBOR BLVD., SUITE 100Fullerton, CA 92835-8300
Mailing Address20 Burton Hills Blvd., Suite 500 Attn: L&cNashville, TN 37215-6176 · (615) 240-3820 · Fax (615) 234-1720
Phone(714) 870-8300
Fax(714) 870-8301
Organization SubpartNo
Authorized OfficialPhillip A ClendeninPresident Of Lp · (615) 665-1283
Enumeration DateJuly 21, 2006
Last NPPES UpdateSeptember 7, 2023
✔ NPI 1962423574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · 550000031
2240 NORTH HARBOR BLVD., Fullerton, CA 92835
Open in Google Maps ↗

Other Names 1

Doing Business AsFullerton Surgical Center

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 05D1027424

Fullerton Surgical Center A California Limited Partnership · Fullerton, CA
Active · expires Jun 28, 2028
CLIA Number05D1027424
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 29, 2026
Certificate Expiration DateJune 28, 2028
Laboratory DirectorKaveh Matin
Laboratory Phone(714) 870-8300
Laboratory LocationFullerton Surgical Center A California Limited Partnership2240 N Harbor Blvd Ste 100, Fullerton, CA 92835
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 7

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.

Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
35 services14 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
30 services18 patients
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.
26 services13 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.
24 services18 patients
Shock wave crushing of kidney stones 50590
Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.
15 services14 patients
Crushing of stone of ureter with insertion of stent using an endoscope 52356
This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.
15 services14 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 Fullerton Surgical Center, LP's NPI number?

The NPI number for Fullerton Surgical Center, LP is 1962423574. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is doing business as Fullerton Surgical Center.

Where is Fullerton Surgical Center, LP located?

Fullerton Surgical Center, LP is located at 2240 North Harbor Blvd. Suite 100, Fullerton, CA 92835. The listed phone number is (714) 870-8300.

What is Fullerton Surgical Center, LP's specialty?

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

Does Fullerton Surgical Center, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1027424) is associated with this NPI, valid through June 28, 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 Fullerton Surgical Center, LP was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.