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MAGNOLIA SURGERY CENTER, LLC
NPI 1063887875
Clinic/Center - Ambulatory Surgical in El Cajon, CA

Active since December 04, 2015CLIA 05D2111898 · Waiver
463 N MAGNOLIA AVE, EL CAJON, CA 92020(619) 990-1698 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 4, 2018, Dec 4, 2015 (2 updates tracked since 2015).

About Magnolia Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA SURGERY CENTER, LLC (NPI 1063887875) is a healthcare organization registered as an ambulatory surgical in El Cajon, California and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Tarek Hassanein, President, as its authorized official.

NPPES Registry Identity

NPI1063887875
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMAGNOLIA SURGERY CENTER, LLC
Location Address463 N MAGNOLIA AVEEl Cajon, CA 92020-3606
Mailing AddressPo Box 181770Coronado, CA 92178-1770
Phone(619) 990-1698
Organization SubpartNo
Authorized OfficialTarek HassaneinPresident · (619) 990-1698
Enumeration DateDecember 4, 2015
Last NPPES UpdateMay 4, 20182 updates tracked since enumeration
✔ NPI 1063887875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
463 N MAGNOLIA AVE, El Cajon, CA 92020
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2111898

Magnolia Surgery Center LLC · El Cajon, CA
Active · expires Apr 17, 2028
CLIA Number05D2111898
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorTarek I. Hassanein
Laboratory Phone(619) 359-8380
Laboratory LocationMagnolia Surgery Center LLC463 N Magnolia Ave Ste B, El Cajon, CA 92020
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
97 services96 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
70 services69 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
42 services42 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
41 services41 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
33 services33 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARYAM N YASSO FNP
Nurse Practitioner
463 N MAGNOLIA AVE
EL CAJON, CA 92020
San Diego County (619) 522-0399
ANNIE HAN
Nurse Practitioner (Family)
463 N MAGNOLIA AVE
EL CAJON, CA 92020
San Diego County (629) 522-0399

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Surgery Center, LLC's NPI number?

The NPI number for Magnolia Surgery Center, LLC is 1063887875. It was assigned to this organization in the NPPES registry on December 4, 2015.

Where is Magnolia Surgery Center, LLC located?

Magnolia Surgery Center, LLC is located at 463 N Magnolia Ave, El Cajon, CA 92020. The listed phone number is (619) 990-1698.

What is Magnolia Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Magnolia Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2111898) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Magnolia Surgery Center, LLC was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.