CAL MED ASC LLC NPI 1811482698

NPI Information

  • NPI: 1811482698
  • Provider Name: CAL MED ASC LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D2162749
  • Address: 1281 W C ST
    COLTON, CA
    ZIP 92324
  • Phone: (909) 679-2710

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NPI Details

CAL MED ASC LLC is an ambulatory surgical clinic center in Colton, CA. CAL MED ASC LLC NPI is 1811482698. The provider is registered as an organization entity type.

The provider's business location address is:

1281 W C ST
COLTON, CA
ZIP 92324
Phone: (909) 679-2710
Fax: (909) 423-0138

The provider's authorized official is Dev Gnanadev .
The authorized official title is Managing Member and has the following contact phone number (909) 580-6334.

The CLIA number assigned to this NPI record is 05D2162749 - 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.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Repair of brow paralysis (HCPCS:67900)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)

The enumeration date for this NPI number is 6/25/2018 and was last updated on 11/24/2021.

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: 11/21/2025

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