ARCHIBALD SURGERY CENTER LLC NPI 1982975959

NPI Information

  • NPI: 1982975959
  • Provider Name: ARCHIBALD SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D1036267
  • Address: 9674 ARCHIBALD AVE
    SUITE 125
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Phone: (909) 989-4100

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NPI Details

ARCHIBALD SURGERY CENTER, LLC is an ambulatory surgical clinic center in Rancho Cucamonga, CA. ARCHIBALD SURGERY CENTER, LLC NPI is 1982975959. The provider is registered as an organization entity type.

The provider's business location address is:

9674 ARCHIBALD AVE
SUITE 125
RANCHO CUCAMONGA, CA
ZIP 91730-944
Phone: (909) 989-4100
Fax: (909) 989-5400

The provider's authorized official is Sunil M Shivaram .
The authorized official title is Medical Director and has the following contact phone number (909) 624-8077.

The CLIA number assigned to this NPI record is 05D1036267 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2012 and was last updated on 9/19/2023.

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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