MONTEREY PENINSULA SURGERY CENTER LLC
NPI 1407116361
Clinic/Center - Ambulatory Surgical in Capitola, CA

Active since May 24, 2012CLIA 05D0946634 · Waiver
2265 41ST AVENUE, CAPITOLA, CA 95010(831) 372-2169(831) 372-6323 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Monterey Peninsula Surgery Center Llc NPPES

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

MONTEREY PENINSULA SURGERY CENTER LLC (NPI 1407116361), doing business as Capitola Surgery Center, is a healthcare organization registered as an ambulatory surgical in Capitola, California and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through May 28, 2028 and lists Carrie Millsap, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407116361
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMONTEREY PENINSULA SURGERY CENTER LLC
Location Address2265 41ST AVENUECapitola, CA 95010
Mailing Address9699 Blue Larkspur Ln Ste 202Monterey, CA 93940-6552 · (831) 372-2169 · Fax (831) 372-6323
Fax(831) 372-6323
Organization SubpartNo
Authorized OfficialCarrie MillsapCeo · (831) 372-2169
Enumeration DateMay 24, 2012
Last NPPES UpdateDecember 31, 2025
NPPES CertifiedDecember 31, 2025
✔ NPI 1407116361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2265 41ST AVENUE, Capitola, CA 95010

Other Names 1

Doing Business AsCapitola 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 05D0946634

Monterey Peninsula Surgery Center - Cass Street · Monterey, CA
Active · expires May 28, 2028
CLIA Number05D0946634
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorMichael E. Stuntz
Laboratory Phone(831) 372-2169
Laboratory LocationMonterey Peninsula Surgery Center - Cass Street966 Cass St, Suite 150, Monterey, CA 93940
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 16

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.

Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg C9088
Instillation of bupivacaine and meloxicam involves administering these medications into your body, usually through an injection. Bupivacaine is a local anesthetic that numbs specific areas, and meloxicam is an anti-inflammatory drug that reduces pain and swelling.
4,112 services17 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.
266 services90 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.
238 services99 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
208 services80 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
194 services59 patients
Destruction of peripheral nerve or branch 64640
Destruction of a peripheral nerve or branch is a procedure to treat nerve-related pain. It involves using heat, cold, or chemicals to damage or destroy the nerve, thereby blocking pain signals to the brain. This can provide long-term pain relief.
161 services24 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 Monterey Peninsula Surgery Center LLC's NPI number?

The NPI number for Monterey Peninsula Surgery Center LLC is 1407116361. It was assigned to this organization in the NPPES registry on May 24, 2012. The provider is doing business as Capitola Surgery Center.

Where is Monterey Peninsula Surgery Center LLC located?

Monterey Peninsula Surgery Center LLC is located at 2265 41st Avenue, Capitola, CA 95010. The listed phone number is (831) 372-2169.

What is Monterey Peninsula Surgery Center LLC's specialty?

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

Does Monterey Peninsula Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0946634) is associated with this NPI, valid through May 28, 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 Monterey Peninsula Surgery Center LLC was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.