OrganizationActive
Elite Surgical Center, LLC
NPI 1003388760 · Ambulatory Surgical Clinic/Center · Mesa, AZ
Provider details
- NPI number
- 1003388760
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Grant Cook, Manager(214) 295-6703
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4540 E Baseline Rd Ste 117
Mesa, AZ 85206-4617
Phone: (480) 622-4158
Street-level locationGet directions
Mailing address
15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717
Additional practice locations (1)
- 15333 N Pima Rd Ste 305Scottsdale, AZ 85260-2717Phone: (480) 766-6819
Registry dates
- Enumerated
- 2018-12-19
- Last updated
- 2020-04-21
- Certified
- 2020-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.