0001463993-25-000002.txt : 20250617 0001463993-25-000002.hdr.sgml : 20250617 20250617170457 ACCESSION NUMBER: 0001463993-25-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20250617 DATE AS OF CHANGE: 20250617 EFFECTIVENESS DATE: 20250617 FILER: COMPANY DATA: COMPANY CONFORMED NAME: UCSD Ambulatory Surgery Center, LLC CENTRAL INDEX KEY: 0001463993 ORGANIZATION NAME: EIN: 261232189 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-549215 FILM NUMBER: 251054183 BUSINESS ADDRESS: STREET 1: 3000 RIVERCHASE GALLERIA STREET 2: SUITE 500 CITY: BIRMINGHAM STATE: AL ZIP: 35244 BUSINESS PHONE: 8585540220 MAIL ADDRESS: STREET 1: 8929 UNIVERSITY CENTER LANE STREET 2: SUITE 103 CITY: SAN DIEGO STATE: CA ZIP: 92122 D 1 primary_doc.xml X0708 D LIVE 0001463993 UCSD Ambulatory Surgery Center, LLC 8929 University Center Lane Suite 103 San Diego CA CALIFORNIA 92122 8585540220 DELAWARE None None Limited Liability Company true John Jimenez c/o UCSD Ambulatory Surgery Center, LLC 8929 University Center Lane, Suite 103 San Diego CA CALIFORNIA 92122 Director Paul Murphy c/o UCSD Ambulatory Surgery Center, LLC 8929 University Center Lane, Suite 103 San Diego CA CALIFORNIA 92122 Director Oren Shill c/o UCSD Ambulatory Surgery Center, LLC 8929 University Center Lane, Suite 103 San Diego CA CALIFORNIA 92122 Executive Officer Director Monica Crellin c/o UCSD Ambulatory Surgery Center, LLC 8929 University Center Lane, Suite 103 San Diego CA CALIFORNIA 92122 Executive Officer Director David Hackley c/o UCSD Ambulatory Surgery Center, LLC 8929 University Center Lane, Suite 103 San Diego CA CALIFORNIA 92122 Director Other Health Care Decline to Disclose 06b false true false true false 0 N/A None SCA Development, LLC 35451 569 Brookwood Village Suite 901 Birmingham AL ALABAMA 35209 CA CALIFORNIA false 2366500 0 2366500 false 0 0 0 0 false UCSD Ambulatory Surgery Center, LLC /s/ Thomas Garrott Thomas Garrott Attorney for Issuer 2025-06-17