EMBASSY SURGERY CENTER LLC NPI 1174063788

NPI Information

  • NPI: 1174063788
  • Provider Name: EMBASSY SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D2165367
  • Address: 42135 10TH ST W
    SUITE 325
    LANCASTER, CA
    ZIP 93534
  • Phone: (661) 726-5005

Map and Directions

Get Directions

NPI Details

EMBASSY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Lancaster, CA. EMBASSY SURGERY CENTER, LLC NPI is 1174063788. The provider is registered as an organization entity type.

The provider's business location address is:

42135 10TH ST W
SUITE 325
LANCASTER, CA
ZIP 93534-095
Phone: (661) 726-5005
Fax: (661) 579-2444

The provider's authorized official is Thomas S Nasser .
The authorized official title is Manager and has the following contact phone number (661) 726-5005.

The CLIA number assigned to this NPI record is 05D2165367 - 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 upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin (HCPCS:0275T)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Removal of connective tissue of palm (HCPCS:26121)
  • Removal of connective tissue of palm and release of finger, first digit (HCPCS:26123)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
  • Extensive removal of growth of soft tissue structures in palm side of wrist (HCPCS:25115)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Transfer of tendon to thumb, palm, or wrist (HCPCS:26496)
  • Insertion of programmable spinal canal drug infusion pump (HCPCS:62362)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)

The enumeration date for this NPI number is 3/1/2017 and was last updated on 3/1/2017.

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.