CORONADO SURGERY CENTER LLC NPI 1235363987

NPI Information

  • NPI: 1235363987
  • Provider Name: CORONADO SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 29D2262689
  • Address: 2779 W HORIZON RIDGE PKWY
    SUITE 140
    HENDERSON, NV
    ZIP 89052
  • Phone: (702) 589-9250

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NPI Details

CORONADO SURGERY CENTER, LLC is an ambulatory surgical clinic center in Henderson, NV. CORONADO SURGERY CENTER, LLC NPI is 1235363987. The provider is registered as an organization entity type.

The provider's business location address is:

2779 W HORIZON RIDGE PKWY
SUITE 140
HENDERSON, NV
ZIP 89052-184
Phone: (702) 589-9250
Fax: (702) 589-9257

The provider's authorized official is Donna Tribble .
The authorized official title is Administrator/don and has the following contact phone number (702) 589-9250.

The CLIA number assigned to this NPI record is 29D2262689 - physician office 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.

  • Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg (HCPCS:C9088)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)

The enumeration date for this NPI number is 5/11/2009 and was last updated on 5/10/2019.

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 Surgical5381ASC-0NEVADAYes

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: 11/21/2025

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