UCSD SURGICAL CENTER OF SAN DIEGO, LLC
NPI 1316462377
Clinic/Center - Ambulatory Surgical in San Diego, CA

Active since August 10, 2017CLIA 05D2011036 · Waiver
4910 DIRECTORS PL STE 100, SAN DIEGO, CA 92121(858) 750-4800 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Dec 11, 2017, Aug 10, 2017 (3 updates tracked since 2017).

About Ucsd Surgical Center Of San Diego, Llc NPPES

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

UCSD SURGICAL CENTER OF SAN DIEGO, LLC (NPI 1316462377) is a healthcare organization registered as an ambulatory surgical in San Diego, California and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through August 24, 2026 and lists Monica Crellin, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1316462377
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameUCSD SURGICAL CENTER OF SAN DIEGO, LLC
Location Address4910 DIRECTORS PL STE 100San Diego, CA 92121-3814
Mailing Address4910 Directors Pl Ste 100San Diego, CA 92121-3814 · (858) 750-4800
Organization SubpartNo
Authorized OfficialMonica CrellinChief Administrative Officer · (858) 750-4800
Enumeration DateAugust 10, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1316462377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4910 DIRECTORS PL STE 100, San Diego, CA 92121

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 05D2011036

Ucsd Surgical Center Of San Diego LLC · San Diego, CA
Active · expires Aug 24, 2026
CLIA Number05D2011036
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 25, 2024
Certificate Expiration DateAugust 24, 2026
Laboratory DirectorBradley D. Foltz
Laboratory Phone(858) 750-4800
Laboratory LocationUcsd Surgical Center Of San Diego LLC4910 Directors Place Ste 100, San Diego, CA 92121
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 18

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.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
2,129 services16 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.
174 services173 patients
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.
113 services109 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.
107 services107 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
90 services48 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
79 services43 patients

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 Ucsd Surgical Center Of San Diego, LLC's NPI number?

The NPI number for Ucsd Surgical Center Of San Diego, LLC is 1316462377. It was assigned to this organization in the NPPES registry on August 10, 2017.

Where is Ucsd Surgical Center Of San Diego, LLC located?

Ucsd Surgical Center Of San Diego, LLC is located at 4910 Directors Pl Ste 100, San Diego, CA 92121. The listed phone number is (858) 750-4800.

What is Ucsd Surgical Center Of San Diego, LLC's specialty?

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

Does Ucsd Surgical Center Of San Diego, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2011036) is associated with this NPI, valid through August 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ucsd Surgical Center Of San Diego, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.