GENESIS AMBULATORY SURGERY CENTER INC
NPI 1114707601
Clinic/Center - Ambulatory Surgical in Santa Ana, CA

Q: What is Genesis Ambulatory Surgery Center Inc's specialty?

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

Active since October 02, 2023CLIA Certified · 2 labs

1401 N TUSTIN AVE STE 105, SANTA ANA, CA 92705(949) 837-3000(949) 259-6978 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2025, Sep 1, 2025, Feb 11, 2025 and 2 more (5 updates tracked since 2023).

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About Genesis Ambulatory Surgery Center Inc NPPES

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

GENESIS AMBULATORY SURGERY CENTER INC (NPI 1114707601) is a healthcare organization registered as an ambulatory surgical in Santa Ana, California and active in the NPI registry since October 2023. The organization holds 2 active CLIA laboratory certificates and lists Yasser Hilmy Salem, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114707601

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameGENESIS AMBULATORY SURGERY CENTER INC

Location Address1401 N TUSTIN AVE STE 105Santa Ana, CA 92705-8679

Mailing AddressPo Box 2393Orange, CA 92859-0393 · (949) 837-3000 · Fax (949) 259-6978

Phone(949) 837-3000

Fax(949) 259-6978

Organization SubpartYes

Authorized OfficialYasser Hilmy SalemCeo · (714) 545-5200

Enumeration DateOctober 2, 2023

Last NPPES UpdateSeptember 8, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2025

✔ NPI 1114707601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1401 N TUSTIN AVE STE 105, Santa Ana, CA 92705

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Other Names 1

Other NameGenesis Ambulatory Surgery Center, Inc.

CLIA Laboratory Certificates CMS CLIA 2

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 05D2314453

Genesis Ambulatory Surgery Center, Inc · Santa Ana, CA

Active · expires Nov 19, 2026

CLIA Number05D2314453

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateNovember 20, 2024

Certificate Expiration DateNovember 19, 2026

Laboratory DirectorYasser H. Salem

Laboratory Phone(949) 837-3000

Laboratory LocationGenesis Ambulatory Surgery Center, Inc1401 N Tustin Ave Ste 105, Santa Ana, CA 92705

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2009246

Genesis Ambulatory Surgery Center Inc · Foothill Ranch, CA

Active · expires Jun 28, 2028

CLIA Number05D2009246

Laboratory TypePhysician Office

Certificate Effective DateJune 29, 2026

Certificate Expiration DateJune 28, 2028

Laboratory DirectorYasser H. Salem

Laboratory Phone(949) 837-3000

Laboratory LocationGenesis Ambulatory Surgery Center Inc26781 Portola Parkway, Suite 4E, Foothill Ranch, CA 92610

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Genesis Ambulatory Surgery Center Inc's NPI number?

The NPI number for Genesis Ambulatory Surgery Center Inc is 1114707601. It was assigned to this organization in the NPPES registry on October 2, 2023. The provider is also known as Genesis Ambulatory Surgery Center, Inc..

Where is Genesis Ambulatory Surgery Center Inc located?

Genesis Ambulatory Surgery Center Inc is located at 1401 N Tustin Ave Ste 105, Santa Ana, CA 92705. The listed phone number is (949) 837-3000.

What is Genesis Ambulatory Surgery Center Inc's specialty?

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

Does Genesis Ambulatory Surgery Center Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Genesis Ambulatory Surgery Center Inc was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.