OrganizationActive
Centennial Specialty Surgery Center Inc
NPI 1043560295 · Ambulatory Surgical Clinic/Center · Las Vegas, NV
Provider details
- NPI number
- 1043560295
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Taheri, Owner(310) 993-8994
- License
- 20120078160-37 (NV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
5550 Painted Mirage Rd
Suite 100
Las Vegas, NV 89149-4581
Phone: (310) 993-8994
Street-level locationGet directions
Mailing address
Po Box 16297
Beverly Hills, CA 90209-2297
Registry dates
- Enumerated
- 2012-09-14
- Last updated
- 2020-08-07
- Certified
- 2020-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.