OPTIMUM SURGICAL CENTER LLC NPI 1992238661

NPI Details

OPTIMUM SURGICAL CENTER, LLC is an ambulatory surgical clinic center in Phoenix, AZ. OPTIMUM SURGICAL CENTER, LLC NPI is 1992238661. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Nascent Paradise Valley Surgical Center.

The provider's business location address is:

20045 N 19TH AVE BLDG 12
PHOENIX, AZ
ZIP 85027-270
Phone: (480) 766-6819

The provider's authorized official is Grant Cook .
The authorized official title is Owner/manager and has the following contact phone number (602) 313-8110.

The CLIA number assigned to this NPI record is 03D2126991 - 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 substance into lower spine canal using imaging guidance (HCPCS:62323)
• Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
• Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
• Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
• Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
• Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
• Injection of trigger points, 1-2 muscles (HCPCS:20552)
• Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)

The enumeration date for this NPI number is 4/9/2017 and was last updated on 4/23/2020.

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: