HACIENDA SURGERY CENTER
NPI 1346649480
Clinic/Center - Ambulatory Surgical in Pleasanton, CA

Q: What is Hacienda Outpatient Surgery Center, LLC's specialty?

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

Active since August 14, 2014CLIA 05D1084387 · Waiver

4626 WILLOW RD, SUITE 100, PLEASANTON, CA 94588(925) 734-6744(925) 734-6769 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2024, Aug 18, 2017, Sep 20, 2016 (3 updates tracked since 2016).

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About Hacienda Surgery Center NPPES

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

HACIENDA SURGERY CENTER (NPI 1346649480) is a healthcare organization registered as an ambulatory surgical in Pleasanton, California and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Eric Boon, Officer / Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1346649480

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameHACIENDA OUTPATIENT SURGERY CENTER, LLC

Location Address4626 WILLOW RD, SUITE 100Pleasanton, CA 94588-8517

Mailing Address4626 Willow Rd, Suite 100Pleasanton, CA 94588-8517 · (925) 734-6744 · Fax (925) 734-6769

Phone(925) 734-6744

Fax(925) 734-6769

Organization SubpartNo

Authorized OfficialEric BoonOfficer / Authorized Official · (480) 567-0269

Enumeration DateAugust 14, 2014

Last NPPES UpdateOctober 7, 20243 updates tracked since enumeration

NPPES CertifiedOctober 7, 2024

✔ NPI 1346649480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

4626 WILLOW RD, Pleasanton, CA 94588

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Other Names 1

Doing Business AsHacienda Surgery Center

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 05D1084387

Hacienda Outpatient Surgery Center, LLC Dba Hacienda Surgery Center · Pleasanton, CA

Active · expires May 20, 2028

CLIA Number05D1084387

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 21, 2026

Certificate Expiration DateMay 20, 2028

Laboratory DirectorRobin Dennings

Laboratory Phone(925) 734-6744

Laboratory LocationHacienda Outpatient Surgery Center, LLC Dba Hacienda Surgery Center4626 Willow Rd Ste 100, Pleasanton, CA 94588

CLIA data matches this NPI record on: Address Name Phone

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

Areas of Expertise CMS Part B claims 25

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.

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.

370 services367 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.

273 services269 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.

223 services119 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.

182 services181 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

146 services97 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

133 services132 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

71 services47 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.

46 services46 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

44 services44 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

43 services23 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

42 services27 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

42 services34 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

37 services26 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

27 services19 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

24 services12 patients

Removal of both knee cartilages using an endoscope 29880

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

21 services21 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

21 services21 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

21 services21 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

18 services18 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

18 services18 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

16 services16 patients

Removal of growth of tendon finger or hand 26160

This procedure involves the surgical removal of abnormal growths on tendons in the finger or hand. These growths can cause discomfort or restrict movement. The process aims to alleviate pain and restore function to the affected area. It's done under anesthesia.

15 services15 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

12 services12 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

12 services11 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

11 services11 patients

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Other Providers at the Same Location NPPES 20

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

DAVID J JUPINA M.D.

Orthopaedic Surgery

4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588

Alameda County (925) 463-0470

DR. ROBERT H MALSTROM MD

Orthopaedic Surgery

4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588

Alameda County (925) 463-0470

SHANNON M. RUSH DPM

Podiatrist

4626 WILLOW RD, STE 200
PLEASANTON, CA 94588

Alameda County (925) 463-0470

PRISCILLA WONG NP

Orthopaedic Surgery (Hand Surgery)

4626 WILLOW RD
PLEASANTON, CA 94588

Alameda County (925) 463-0470

KENNETH G VENOS M.D.

Orthopaedic Surgery

4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588

Alameda County (925) 463-0470

IAN A STINE M.D.

Orthopaedic Surgery (Sports Medicine)

4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588

Alameda County (925) 463-0470

TRI-VALLEY ORTHOPEDIC AND SPORTS MEDICAL GROUP INC

Orthopaedic Surgery

4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588

Alameda County (925) 463-0470

BARBARA R FONG O.T.

Occupational Therapist

4626 WILLOW RD, SUITE 200
PLEASANTON, CA 94588

Alameda County (925) 463-0470

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 Hacienda Outpatient Surgery Center, LLC's NPI number?

The NPI number for Hacienda Outpatient Surgery Center, LLC is 1346649480. It was assigned to this organization in the NPPES registry on August 14, 2014. The provider is doing business as Hacienda Surgery Center.

Where is Hacienda Outpatient Surgery Center, LLC located?

Hacienda Outpatient Surgery Center, LLC is located at 4626 Willow Rd Suite 100, Pleasanton, CA 94588. The listed phone number is (925) 734-6744.

What is Hacienda Outpatient Surgery Center, LLC's specialty?

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

Does Hacienda Outpatient Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1084387) is associated with this NPI, valid through May 20, 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 Hacienda Outpatient Surgery Center, LLC was last updated on October 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.

About Hacienda Surgery Center NPPES

NPPES Registry Identity

Specialties & Licenses

Other Names 1

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 05D1084387

Areas of Expertise CMS Part B claims 25

Other Providers at the Same Location NPPES 20

Frequently Asked Questions NPPES & CMS

What is Hacienda Outpatient Surgery Center, LLC's NPI number?

Where is Hacienda Outpatient Surgery Center, LLC located?

What is Hacienda Outpatient Surgery Center, LLC's specialty?

Does Hacienda Outpatient Surgery Center, LLC hold a CLIA laboratory certificate?

When was this NPI record last updated?

Certificate of Waiver 05D1084387