GREENBRAE SURGERY CENTER
NPI 1144316001
Clinic/Center - Ambulatory Surgical in Greenbrae, CA

Active since October 05, 2006CLIA 05D1021721 · Waiver
575 SIR FRANCIS DRAKE BLVD, SUITE 3, GREENBRAE, CA 94904(415) 925-8900(415) 925-8908 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Greenbrae Surgery Center NPPES

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

GREENBRAE SURGERY CENTER (NPI 1144316001) is a healthcare organization registered as an ambulatory surgical in Greenbrae, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Shannon Marie Smith, Interim Administrator, as its authorized official.

NPPES Registry Identity

NPI1144316001
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGREENBRAE SURGERY CENTER
Location Address575 SIR FRANCIS DRAKE BLVD, SUITE 3Greenbrae, CA 94904-2306
Mailing Address575 Sir Francis Drake Blvd, Suite 3Greenbrae, CA 94904-2306 · (415) 925-8900 · Fax (415) 925-8908
Fax(415) 925-8908
Organization SubpartNo
Authorized OfficialShannon Marie SmithInterim Administrator · (415) 885-4900
Enumeration DateOctober 5, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1144316001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
575 SIR FRANCIS DRAKE BLVD, Greenbrae, CA 94904

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 05D1021721

Greenbrae Surgery Center · Greenbrae, CA
Active · expires Jan 29, 2028
CLIA Number05D1021721
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorRobert G. Aycock MD
Laboratory Phone(415) 925-8900
Laboratory LocationGreenbrae Surgery Center575 Sir Francis Drake Blvd Suite 3, Greenbrae, CA 94904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Ambulatory Surgical)
575 SIR FRANCIS DRAKE BLVD, SUITE 3
GREENBRAE, CA 94904
Clinic/Center (Ambulatory Surgical)
575 SIR FRANCIS DRAKE BLVD, SUITE 3
GREENBRAE, CA 94904
Clinic/Center (Ambulatory Surgical)
575 SIR FRANCIS DRAKE BLVD, SUITE # 3
GREENBRAE, CA 94904
Specialist
575 SIR FRANCIS DRAKE BLVD, SUITE 1
GREENBRAE, CA 94904
Registered Nurse
575 SIR FRANCIS DRAKE BLVD
GREENBRAE, CA 94904

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 Greenbrae Surgery Center's NPI number?

The NPI number for Greenbrae Surgery Center is 1144316001. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Greenbrae Surgery Center located?

Greenbrae Surgery Center is located at 575 Sir Francis Drake Blvd Suite 3, Greenbrae, CA 94904. The listed phone number is (415) 925-8900.

What is Greenbrae Surgery Center's specialty?

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

Does Greenbrae Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1021721) is associated with this NPI, valid through January 29, 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 Greenbrae Surgery Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.