Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Centennial Specialty Surgery Center Inc

Organization Ambulatory Surgical Clinic/Center · NPI 1043560295

Centennial Specialty Surgery Center Inc is an Ambulatory Surgical Clinic/Center in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2012.

Licensed in
NV
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5550 Painted Mirage Rd Ste 100
Las Vegas, NV 89149-4581
Phone: (310) 993-8994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 20120078160-37 (NV)

Record details

NPI number1043560295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Taheri — Owner · (310) 993-8994
NPI enumeratedSeptember 14, 2012
Last updated in NPPESAugust 7, 2020
Certification dateAugust 7, 2020
Mailing addressPo Box 16297, Beverly Hills, CA 90209-2297

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