PAVILION SURGERY CENTER LLC
NPI 1356878052
Clinic/Center - Ambulatory Surgical in Orange, CA

Active since May 12, 2017CLIA 05D2140151 · Waiver
1140 W LA VETA AVE, ORANGE, CA 92868(714) 744-8711 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2018, May 12, 2017 (2 updates tracked since 2017).

About Pavilion Surgery Center Llc NPPES

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

PAVILION SURGERY CENTER LLC (NPI 1356878052) is a healthcare organization registered as an ambulatory surgical in Orange, California and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Brian Giessler, Sr Vp Of Asc Ops & Business Svcs, as its authorized official.

NPPES Registry Identity

NPI1356878052
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePAVILION SURGERY CENTER LLC
Location Address1140 W LA VETA AVEOrange, CA 92868-4225
Mailing Address3033 N 44th St Ste 200Phoenix, AZ 85018-7244
Organization SubpartNo
Authorized OfficialBrian GiesslerSr Vp Of Asc Ops & Business Svcs · (480) 207-3716
Enumeration DateMay 12, 2017
Last NPPES UpdateMarch 28, 20182 updates tracked since enumeration
NPI 1356878052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1140 W LA VETA AVE, Orange, CA 92868

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 05D2140151

Pavilion Surgery Center, LLC · Orange, CA
Active · expires Nov 14, 2027
CLIA Number05D2140151
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorAlejandro E. Ramirez
Laboratory Phone(714) 744-8850
Laboratory LocationPavilion Surgery Center, LLC1140 West La Veta Ave Ste 300, Orange, CA 92868
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 45

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.
1,729 services13 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.
903 services600 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.
699 services683 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.
480 services475 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.
323 services323 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.
202 services201 patients

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.

Nurse Practitioner (Obstetrics & Gynecology)
1140 W LA VETA AVE, SUITE 770
ORANGE, CA 92868
Pharmacist
1140 W LA VETA AVE
ORANGE, CA 92868
Physician Assistant
1140 W LA VETA AVE, SUITE 860
ORANGE, CA 92868
Pharmacist
1140 W LA VETA AVE
ORANGE, CA 92868
Occupational Therapist (Hand)
1140 W LA VETA AVE, SUITE 860
ORANGE, CA 92868
Internal Medicine
1140 W LA VETA AVE, SUITE 615
ORANGE, CA 92868
Clinic/Center (Medical Specialty)
1140 W LA VETA AVE, SUITE 750
ORANGE, CA 92868
Otolaryngology
1140 W LA VETA AVE, STE. 520
ORANGE, CA 92868

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 Pavilion Surgery Center LLC's NPI number?

The NPI number for Pavilion Surgery Center LLC is 1356878052. It was assigned to this organization in the NPPES registry on May 12, 2017.

Where is Pavilion Surgery Center LLC located?

Pavilion Surgery Center LLC is located at 1140 W La Veta Ave, Orange, CA 92868. The listed phone number is (714) 744-8711.

What is Pavilion Surgery Center LLC's specialty?

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

Does Pavilion Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2140151) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pavilion Surgery Center LLC was last updated on March 28, 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.