OPTIMUM SURGICAL CENTER, LLC
NPI 1992238661
Clinic/Center - Ambulatory Surgical in Phoenix, AZ

Active since April 09, 2017CLIA 03D2126991 · Waiver
20045 N 19TH AVE BLDG 12, PHOENIX, AZ 85027(480) 766-6819 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2020, Jun 11, 2019, Apr 23, 2019 and 2 more (5 updates tracked since 2018).

About Optimum Surgical Center, Llc NPPES

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

OPTIMUM SURGICAL CENTER, LLC (NPI 1992238661), doing business as Nascent Paradise Valley Surgical Center, is a healthcare organization registered as an ambulatory surgical in Phoenix, Arizona and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through March 7, 2027, maintains a secondary practice location in Phoenix, and lists Grant Cook, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1992238661
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameOPTIMUM SURGICAL CENTER, LLC
Location Address20045 N 19TH AVE BLDG 12Phoenix, AZ 85027-4270
Mailing Address15333 N Pima Rd, Suite 305Scottsdale, AZ 85260-2783
Organization SubpartNo
Authorized OfficialGrant CookOwner/manager · (602) 313-8110
Enumeration DateApril 9, 2017
Last NPPES UpdateApril 23, 20205 updates tracked since enumeration
NPPES CertifiedApril 23, 2020
NPI 1992238661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
20045 N 19TH AVE BLDG 12, Phoenix, AZ 85027

Other Names 1

Former Legal Business NameNascent Paradise Valley Surgical Center

Secondary Practice Location 1

Location 16245 N 16th StPhoenix, AZ 85016-1706 · Phone (480) 766-6819

Accepted Insurance

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 03D2126991

Optimum Surgical Center · Phoenix, AZ
Active · expires Mar 7, 2027
CLIA Number03D2126991
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorSonny Batheja
Laboratory Phone(480) 799-6819
Laboratory LocationOptimum Surgical Center20045 N 19th Ave, Bldg 12, Phoenix, AZ 85027
CLIA data matches this NPI record on: Address Name
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.

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.
96 services49 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
82 services29 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.
80 services46 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.
68 services50 patients
Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones 64628
This procedure involves the use of heat to disable the basivertebral nerve within the first two bones of your lower spine. It's done to alleviate chronic lower back pain. It's a safe, minimally invasive procedure with a quick recovery time.
60 services45 patients
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.
47 services25 patients

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Ambulatory Surgical)
20045 N 19TH AVE BLDG 12
PHOENIX, AZ 85027
Clinic/Center (Ambulatory Surgical)
20045 N 19TH AVE BLDG 12
PHOENIX, AZ 85027
Clinic/Center (Ambulatory Surgical)
20045 N 19TH AVE BLDG 12
PHOENIX, AZ 85027
Clinic/Center (Ambulatory Surgical)
20045 N 19TH AVE BLDG 12
PHOENIX, AZ 85027
Clinic/Center (Ambulatory Surgical)
20045 N 19TH AVE BLDG 12
PHOENIX, AZ 85027

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 Optimum Surgical Center, LLC's NPI number?

The NPI number for Optimum Surgical Center, LLC is 1992238661. It was assigned to this organization in the NPPES registry on April 9, 2017. The provider was formerly known as Nascent Paradise Valley Surgical Center.

Where is Optimum Surgical Center, LLC located?

Optimum Surgical Center, LLC is located at 20045 N 19th Ave Bldg 12, Phoenix, AZ 85027. The listed phone number is (480) 766-6819.

What is Optimum Surgical Center, LLC's specialty?

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

Does Optimum Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2126991) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Optimum Surgical Center, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Optimum Surgical Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Optimum Surgical Center, LLC was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.