REGENCY AMBULATORY SURGERY CENTER ONE, LLC
NPI 1073155834
Clinic/Center - Ambulatory Surgical in Surprise, AZ

NPI Status: Active since October 14, 2019

Contact Information

14725 W MOUNTAIN VIEW BLVD
SURPRISE, AZ
ZIP 85374
Phone: (623) 243-9077
Fax: (623) 271-9826

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 03D2184401
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-18-2026

About REGENCY AMBULATORY SURGERY CENTER ONE, LLC

This page provides the complete NPI Profile along with additional information for Regency Ambulatory Surgery Center One, Llc, a provider established in Surprise, Arizona operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1073155834 assigned on October 2019. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated May 2025. The authorized official of this NPI record is Dr. Jason Lee Mussman Md (Ceo/sole Member)

NPI
1073155834
Provider Name
REGENCY AMBULATORY SURGERY CENTER ONE, LLC
Entity Type
Organization
Location Address
14725 W MOUNTAIN VIEW BLVD SURPRISE, AZ 85374
Location Phone
(623) 243-9077
Location Fax
(623) 271-9826
Mailing Address
10240 W INDIAN SCHOOL RD STE 115 PHOENIX, AZ 85037
Mailing Phone
(623) 243-9077
Mailing Fax
(623) 271-9826
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-14-2019
Last Update Date
05-02-2025
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
  • Connect Bronze 6800 Indiv Med Deductible - HMO
  • Connect Bronze 8900 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold 2500 Indiv Med Deductible - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 4000 Indiv Med Deductible - HMO
  • Connect Silver 5000 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Gold Classic - HMO
  • Gold Classic Standard - HMO
  • Secure - HMO
  • Silver Classic Standard - HMO
  • Silver Elite Saver Plus - HMO
  • Silver Simple Chronic Care CKM - HMO
  • Silver Simple PCP Saver - HMO
  • Silver Simple Specialist Saver with COPD - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JASON LEE MUSSMAN MD

Authorized Official Title
CEO/SOLE MEMBER
Authorized Official Phone
(623) 243-9077

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm

This procedure involves repairing a wound on your eyelids, nose, ears, or lip that is between 2.6 and 7.5 cm long. It's considered complicated due to the location and size. The doctor will clean, treat, and stitch the wound to promote healing.

This service was performed 25 times for 24 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

This service was performed 34 times for 34 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

This service was performed 17 times for 17 patients

Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less

A full thickness skin graft involves transplanting skin from one area of the body to another. In this case, to the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The procedure helps heal areas affected by injury or disease, covering an area of 20.0 sq cm or less.

This service was performed 15 times for 14 patients

Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less

A full thickness skin graft is a procedure where a layer of skin is taken from one area of the body and transplanted to another. If it's done on the nose, ears, eyelids, or lips, it helps restore these areas when damaged. The size of the graft is 20.0 sq cm or less.

This service was performed 21 times for 21 patients

Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less

A full-thickness skin graft involves transferring a layer of skin from one area of the body to the scalp, arms, or legs. This procedure, covering an area 20.0 sq cm or less, aids in healing wounds or areas with skin loss. It's a safe, common surgical practice.

This service was performed 23 times for 22 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

This service was performed 674 times for 572 patients

Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less

This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.

This service was performed 635 times for 542 patients

Repair of wound by transferring skin, 30.1-60.0 sq cm

This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.

This service was performed 1,106 times for 783 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

This service was performed 46 times for 42 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by transferring skin from another part of the body. The size of the skin transferred will be between 10.1 to 30.0 square centimeters. It is performed to restore function and appearance.

This service was performed 67 times for 66 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less

This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.

This service was performed 42 times for 42 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm

This procedure involves repairing a wound on specified body areas by transferring skin from another part of the body. The transferred skin, measuring between 10.1 to 30.0 square cm, aids in healing the wound and restoring the skin's normal function.

This service was performed 119 times for 113 patients

Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less

This procedure involves repairing a wound on your scalp, arm, or leg by transferring a small piece of skin, 10.0 sq cm or less, from a different area of your body. This skin graft helps promote healing and minimizes scarring.

This service was performed 11 times for 11 patients

Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm

This procedure involves repairing a wound on your scalp, arm, or leg by moving skin from another part of your body. The skin transferred will cover an area between 10.1 to 30.0 square cm. This helps promote healing and reduce scarring.

This service was performed 47 times for 43 patients

Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm

This procedure involves treating a wound on the body by moving skin from one area to another. The transferred skin, ranging from 10.1-30.0 sq cm, helps cover and heal the wound. It's a common way to promote healing for large or deep wounds.

This service was performed 45 times for 40 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2184401
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 19, 2024
Certificate Expiration Date
May 18, 2026
Laboratory Director
JASON L. MUSSMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Regency Ambulatory Surgery Center One, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for REGENCY AMBULATORY SURGERY CENTER ONE, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073155834
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143251086
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 2 + 5 + 1 + 0 + 8 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1073155834 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548844343REGENCY SPA LLC
Organization
Clinic/Center (Medical Specialty)14725 W MOUNTAIN VIEW BLVD
SURPRISE, AZ 85374
(623) 243-9077
1376176115REGENCY AMBULATORY SURGERY CENTER ONE
Organization
Surgery (Plastic and Reconstructive Surgery)14725 W MOUNTAIN VIEW BLVD
SURPRISE, AZ 85374
(623) 243-9077
1417906280 BETTY A HINDERKS DAVIS MD
Individual
Dermatology (MOHS-Micrographic Surgery)14725 W MOUNTAIN VIEW BLVD
SURPRISE, AZ 85374
(623) 243-9077
1932630563REGENCY SKIN INSTITUTE PLLC
Organization
Dermatology (MOHS-Micrographic Surgery)14725 W MOUNTAIN VIEW BLVD
SURPRISE, AZ 85374
(623) 243-9077
1780453332 MAYA TORRES PA-C
Individual
Physician Assistant14725 W MOUNTAIN VIEW BLVD
SURPRISE, AZ 85374
(623) 243-9077
1861947038 DREW KLUG M.D.
Individual
Dermatology14725 W MOUNTAIN VIEW BLVD
SURPRISE, AZ 85374
(623) 243-9077

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073155834, enumerated in the NPI registry as an "organization" on October 14, 2019

The provider is located at 14725 W Mountain View Blvd Surprise, Az 85374 and the phone number is (623) 243-9077

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm, Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm, Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm, Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less, Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less, Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less, Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less, Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less, Repair of wound by transferring skin, 30.1-60.0 sq cm, Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less, Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm, Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less, Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm, Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less, Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm and Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm.

The provider's CLIA number is 03D2184401 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 14, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.