ARCHIBALD SURGERY CENTER, LLC
NPI 1982975959
Clinic/Center - Ambulatory Surgical in Rancho Cucamonga, CA

Q: What is Archibald Surgery Center, LLC's NPI number?

The NPI number for Archibald Surgery Center, LLC is 1982975959. It was assigned to this organization in the NPPES registry on January 23, 2012.

Q: What is Archibald 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 January 23, 2012CLIA 05D1036267 · Waiver

9674 ARCHIBALD AVE, SUITE 125, RANCHO CUCAMONGA, CA 91730(909) 989-4100(909) 989-5400 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Archibald Surgery Center, Llc NPPES

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

ARCHIBALD SURGERY CENTER, LLC (NPI 1982975959) is a healthcare organization registered as an ambulatory surgical in Rancho Cucamonga, California and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Sunil M Shivaram, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1982975959

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameARCHIBALD SURGERY CENTER, LLC

Location Address9674 ARCHIBALD AVE, SUITE 125Rancho Cucamonga, CA 91730-7944

Mailing Address9674 Archibald Ave, Suite 125Rancho Cucamonga, CA 91730-7944 · (909) 296-8930 · Fax (909) 296-8935

Phone(909) 989-4100

Fax(909) 989-5400

Organization SubpartNo

Authorized OfficialSunil M ShivaramMedical Director · (909) 624-8077

Enumeration DateJanuary 23, 2012

Last NPPES UpdateSeptember 19, 2023

NPPES CertifiedSeptember 19, 2023

✔ NPI 1982975959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

9674 ARCHIBALD AVE, Rancho Cucamonga, CA 91730

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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 05D1036267

Archibald Surgery Center, LLC · Rancho Cucamonga, CA

Active · expires Jan 24, 2027

CLIA Number05D1036267

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJanuary 25, 2025

Certificate Expiration DateJanuary 24, 2027

Laboratory DirectorSunil M. Shivaram

Laboratory Phone(909) 989-4100

Laboratory LocationArchibald Surgery Center, LLC9674 Archibald Ave Ste 125, Rancho Cucamonga, CA 91730

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 12

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.

437 services281 patients

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097

This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.

247 services49 patients

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg J1096

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.

153 services27 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

76 services57 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

50 services50 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

36 services35 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

36 services35 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

35 services21 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

19 services19 patients

Dilation of fluid outflow drainage within eye 66174

Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.

18 services12 patients

Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66989

This procedure involves removing a cloudy lens (cataract) from your eye through a larger incision, replacing it with an artificial one. A drainage device is also inserted in the front part of your eye to manage fluid levels, helping maintain eye health.

14 services11 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

13 services13 patients

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Other Providers at the Same Location NPPES 3

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

ANODYNE ANESTHESIA ASSOCIATES INC

Nurse Anesthetist, Certified Registered

9674 ARCHIBALD AVE, SUITE 125
RANCHO CUCAMONGA, CA 91730

San Bernardino County (615) 620-2320

JOHN S. CHO, MD

Non-Pharmacy Dispensing Site

9674 ARCHIBALD AVE
RANCHO CUCAMONGA, CA 91730

San Bernardino County (909) 989-3155

BENEFIT SURGERY MEDICAL CENTER

Clinic/Center (Ambulatory Surgical)

9674 ARCHIBALD AVE, SUITE 125
RANCHO CUCAMONGA, CA 91730

San Bernardino County (909) 989-4100

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 Archibald Surgery Center, LLC's NPI number?

The NPI number for Archibald Surgery Center, LLC is 1982975959. It was assigned to this organization in the NPPES registry on January 23, 2012.

Where is Archibald Surgery Center, LLC located?

Archibald Surgery Center, LLC is located at 9674 Archibald Ave Suite 125, Rancho Cucamonga, CA 91730. The listed phone number is (909) 989-4100.

What is Archibald Surgery Center, LLC's specialty?

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

Does Archibald Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1036267) is associated with this NPI, valid through January 24, 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 Archibald Surgery Center, LLC was last updated on September 19, 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.