DESERT RIDGE OUTPATIENT SURGERY LLC
NPI 1992713176
Clinic/Center - Ambulatory Surgical in Phoenix, AZ

Q: What is Desert Ridge Outpatient Surgery LLC's NPI number?

The NPI number for Desert Ridge Outpatient Surgery LLC is 1992713176. It was assigned to this organization in the NPPES registry on August 4, 2006.

Q: What is Desert Ridge Outpatient Surgery LLC's specialty?

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

Active since August 04, 2006CLIA 03D1064509 · Waiver

20940 N TATUM BLVD, STE 100, PHOENIX, AZ 85050(480) 502-4000(480) 502-4050 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2024, Feb 28, 2018 (2 updates tracked since 2018).

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About Desert Ridge Outpatient Surgery Llc NPPES

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

DESERT RIDGE OUTPATIENT SURGERY LLC (NPI 1992713176) is a healthcare organization registered as an ambulatory surgical in Phoenix, Arizona and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Eric Boon, Officer / Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1992713176

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameDESERT RIDGE OUTPATIENT SURGERY LLC

Location Address20940 N TATUM BLVD, STE 100Phoenix, AZ 85050

Mailing Address20940 N Tatum Blvd, Ste 100Phoenix, AZ 85050-4265 · (480) 502-4000 · Fax (480) 502-4050

Phone(480) 502-4000

Fax(480) 502-4050

Organization SubpartNo

Authorized OfficialEric BoonOfficer / Authorized Official · (480) 567-0269

Enumeration DateAugust 4, 2006

Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2024

✔ NPI 1992713176 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 AZ · OSC4133

20940 N TATUM BLVD, Phoenix, AZ 85050

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Other Identifiers 2

OtherP00617703AZ · Railroad Medicare

Medicaid240194AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.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 03D1064509

Desert Ridge Outpatient Surgery Center · Phoenix, AZ

Active · expires Feb 6, 2027

CLIA Number03D1064509

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateFebruary 7, 2025

Certificate Expiration DateFebruary 6, 2027

Laboratory DirectorMark Wix

Laboratory Phone(602) 525-3589

Laboratory LocationDesert Ridge Outpatient Surgery Center20940 N Tatum Blvd, Suite 100, Phoenix, AZ 85050

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 24

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.

266 services189 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

139 services72 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

106 services62 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

58 services41 patients

Imaging guidance for procedure, 60 minutes or less 76000

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

42 services42 patients

Biopsy and aspiration of bone marrow sample for diagnosis 38222

A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.

36 services36 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

36 services27 patients

Extensive repair of turning-outward eyelid defect 67917

This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.

36 services24 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.

34 services27 patients

Realignment of horizontal eye muscle 67311

Realignment of horizontal eye muscle is a surgical procedure to correct strabismus, a condition where your eyes don't align properly. The surgeon adjusts the muscles that control eye movement, improving coordination and focus. This helps to restore normal eye alignment and functioning.

28 services23 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

22 services16 patients

Probing of nasal tear duct with insertion of tube or stent 68815

This procedure treats blocked tear ducts. A thin probe is gently inserted into the tear duct to clear any blockage. Afterwards, a small tube or stent is placed to keep the pathway open, allowing tears to drain normally again.

20 services17 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.

19 services19 patients

Complete laser vaporization of prostate including control of bleeding using an endoscope 52648

This procedure involves using a special light instrument to carefully remove tissue from a gland located in the lower body. This helps improve the flow of body fluids. The process is done through a tube-like device and also controls any bleeding.

16 services15 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.

16 services11 patients

Creation of eye fluid drainage tract for treatment of glaucoma with previous scarring 66172

This procedure aims to manage glaucoma by forming a new drainage path for eye fluid. It's specifically for cases where previous scarring exists. By creating this tract, excess fluid can escape, reducing pressure in the eye and helping to preserve vision.

15 services15 patients

Reconstruction of lower eyelid by transfer of eyelid tissue from opposite eyelid 67973

This is a procedure where tissue from one eyelid is transferred to reconstruct the lower eyelid. It's often done when there's damage or disease affecting the lower eyelid. The transferred tissue helps restore function and appearance to the affected eyelid.

15 services14 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

14 services12 patients

Complete laser fragmentation of prostate including control of bleeding using an endoscope 52649

This procedure involves using a special scope and a laser to break down an enlarged gland in the lower body, improving comfort and function. It also includes managing any bleeding that may occur during this process.

14 services14 patients

Realignment of vertical eye muscle 67314

Realignment of vertical eye muscle is a surgical procedure aimed to correct problems with eye movement or alignment. This involves adjusting the length or position of eye muscles, helping your eyes to focus together properly. It's a common solution for conditions like strabismus (crossed eyes).

14 services13 patients

Correction of widely-opened upper eyelid 67911

The correction of a widely-opened upper eyelid, also known as eyelid ptosis surgery, is a procedure that adjusts the height of the upper eyelid. It helps improve vision and appearance by tightening the muscle that lifts your eyelid, resulting in a more balanced and open look.

13 services11 patients

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less 15260

A full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.

12 services12 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.

12 services12 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

11 services11 patients

Other Providers at the Same Location NPPES 20

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

VALLEY REHABILITATION ASSOCIATES, INC

Clinic/Center (Rehabilitation)

20940 N TATUM BLVD, SUITE 200
PHOENIX, AZ 85050

Maricopa County (480) 502-5361

DESERT RIDGE SURGICAL SPECIALISTS, LLC

Surgery

20940 N TATUM BLVD, 210
PHOENIX, AZ 85050

Maricopa County (480) 686-8737

GONDRA CENTER FOR IVF LABORATORIES

Clinical Medical Laboratory

20940 N TATUM BLVD, STE B210
PHOENIX, AZ 85050

Maricopa County (480) 621-6203

ARIZONA REHABILITATION ASSOCIATES, LTD.

Clinic/Center (Rehabilitation)

20940 N TATUM BLVD, SUITE 200
PHOENIX, AZ 85050

Maricopa County (480) 502-5361

PATRICIA LISSETTE RODRIGUEZ M.D.

Family Medicine

20940 N TATUM BLVD, SUITE 390
PHOENIX, AZ 85050

Maricopa County (480) 607-0060

EMILY EDWARDS INGLHOFER D.O.

Family Medicine

20940 N TATUM BLVD, SUITE 300
PHOENIX, AZ 85050

Maricopa County (480) 607-0060

ARIZONA GLAUCOMA SPECIALISTS - NORTH PHOENIX, LLC

Ophthalmology

20940 N TATUM BLVD, SUITE 250
PHOENIX, AZ 85050

Maricopa County (480) 538-7075

JEFFREY J KEIL PA-C

Physician Assistant (Medical)

20940 N TATUM BLVD, STE B 290
PHOENIX, AZ 85050

Maricopa County (602) 734-1834

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 Desert Ridge Outpatient Surgery LLC's NPI number?

The NPI number for Desert Ridge Outpatient Surgery LLC is 1992713176. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Desert Ridge Outpatient Surgery LLC located?

Desert Ridge Outpatient Surgery LLC is located at 20940 N Tatum Blvd Ste 100, Phoenix, AZ 85050. The listed phone number is (480) 502-4000.

What is Desert Ridge Outpatient Surgery LLC's specialty?

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

Does Desert Ridge Outpatient Surgery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1064509) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Desert Ridge Outpatient Surgery LLC accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Desert Ridge Outpatient Surgery 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 Desert Ridge Outpatient Surgery LLC was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.