OTAY LAKES SURGERY CENTER LLC NPI 1376595421

NPI Details

OTAY LAKES SURGERY CENTER, LLC is an ambulatory surgical clinic center in Chula Vista, CA. OTAY LAKES SURGERY CENTER, LLC NPI is 1376595421. The provider is registered as an organization entity type.

The provider's business location address is:

955 LANE AVE
SUITE 100
CHULA VISTA, CA
ZIP 91914-501
Phone: (619) 754-2260
Fax: (619) 754-2261

The provider's authorized official is Gary Kurth .
The authorized official title is Vp Operations And Administration and has the following contact phone number (619) 754-2260.

The CLIA number assigned to this NPI record is 05D1058226 - 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 lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
• 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)
• Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
• Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
• Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
• Incision of tendon covering of finger (HCPCS:26055)
• Release of wrist ligament using an endoscope (HCPCS:29848)
• Removal of both knee cartilages using an endoscope (HCPCS:29880)

The enumeration date for this NPI number is 5/17/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.