DESERT VISTA SURGICAL CENTER LLC NPI 1003332883

NPI Information

  • NPI: 1003332883
  • Provider Name: DESERT VISTA SURGICAL CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 03D2133492
  • Address: 10117 N 92ND ST STE 103
    SCOTTSDALE, AZ
    ZIP 85258
  • Phone: (480) 576-8700

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NPI Details

DESERT VISTA SURGICAL CENTER LLC is an ambulatory surgical clinic center in Scottsdale, AZ. DESERT VISTA SURGICAL CENTER LLC NPI is 1003332883. The provider is registered as an organization entity type.

The provider's business location address is:

10117 N 92ND ST STE 103
SCOTTSDALE, AZ
ZIP 85258-555
Phone: (480) 576-8700

The provider's authorized official is Aric Burke .
The authorized official title is Director/officer and has the following contact phone number (480) 689-8403.

The CLIA number assigned to this NPI record is 03D2133492 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level (HCPCS:64479)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of anesthetic agent into middle or lower spine sympathetic nerve (HCPCS:64520)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Destruction of nerve branches of knee using imaging guidance (HCPCS:64624)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)

The enumeration date for this NPI number is 8/14/2017 and was last updated on 6/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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