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CANYON PINOLE SURGERY CENTER, LP
NPI 1497791040
Clinic/Center - Ambulatory Surgical in Pinole, CA

Active since June 21, 2006CLIA 05D1036771 · Waiver
1700 SAN PABLO AVE, STE. D, PINOLE, CA 94564(510) 724-9500(510) 724-9511 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Canyon Pinole Surgery Center, Lp NPPES

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

CANYON PINOLE SURGERY CENTER, LP (NPI 1497791040) is a healthcare organization registered as an ambulatory surgical in Pinole, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through February 8, 2027 and lists David Park, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497791040
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCANYON PINOLE SURGERY CENTER, LP
Location Address1700 SAN PABLO AVE, STE. DPinole, CA 94564-2068
Mailing Address1700 San Pablo Ave Ste DPinole, CA 94564-2082 · (510) 724-9500
Phone(510) 724-9500
Fax(510) 724-9511
Organization SubpartNo
Authorized OfficialDavid ParkAdministrator · (510) 724-9500
Enumeration DateJune 21, 2006
Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
✔ NPI 1497791040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1700 SAN PABLO AVE, Pinole, CA 94564
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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 05D1036771

Canyon Pinole Surgery Center · Pinole, CA
Active · expires Feb 8, 2027
CLIA Number05D1036771
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorScott E. Lee MD
Laboratory Phone(510) 724-9500
Laboratory LocationCanyon Pinole Surgery Center1700 San Pablo Ave, Ste D, Pinole, CA 94564
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 10

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.

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg J1096
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.
228 services45 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.
115 services90 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
72 services57 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.
64 services37 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
50 services41 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.
41 services35 patients

Other Providers at the Same Location NPPES 9

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

A CENTER FOR HEARING HEALTH
Hearing Aid Equipment
1700 SAN PABLO AVE, SUITE F
PINOLE, CA 94564
Contra Costa County (510) 724-1095
ROGER SAMUEL PROCTOR M.D.
Anesthesiology
1700 SAN PABLO AVE
PINOLE, CA 94564
Contra Costa County (510) 724-9500
DR. JOHN HEARST WELBORN JR. M.D.
Orthopaedic Surgery
1700 SAN PABLO AVE, SUITE A
PINOLE, CA 94564
Contra Costa County (510) 724-4600
CINDY ROSS
Audiologist
1700 SAN PABLO AVE, STE F
PINOLE, CA 94564
Contra Costa County (510) 724-1095
WILLIAM C LYON MD, A PROFESSIONAL CORPORATION
Orthopaedic Surgery
1700 SAN PABLO AVE, SUITE A
PINOLE, CA 94564
Contra Costa County (510) 724-4113
WEBSTER SURGERY CENTER, LP
Clinic/Center (Ambulatory Surgical)
1700 SAN PABLO AVE, SUITE D
PINOLE, CA 94564
Contra Costa County (888) 767-7476
MR. GEORGE ICHUNG LEE MD
Anesthesiology
1700 SAN PABLO AVE
PINOLE, CA 94564
Contra Costa County (510) 724-9500
JOSEPH ANTHONY MATAN M.D. A PROFESSIONAL CORPORATION.
Orthopaedic Surgery
1700 SAN PABLO AVE, SUITE A
PINOLE, CA 94564
Contra Costa County (510) 724-4300

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 Canyon Pinole Surgery Center, LP's NPI number?

The NPI number for Canyon Pinole Surgery Center, LP is 1497791040. It was assigned to this organization in the NPPES registry on June 21, 2006.

Where is Canyon Pinole Surgery Center, LP located?

Canyon Pinole Surgery Center, LP is located at 1700 San Pablo Ave Ste. D, Pinole, CA 94564. The listed phone number is (510) 724-9500.

What is Canyon Pinole Surgery Center, LP's specialty?

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

Does Canyon Pinole Surgery Center, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1036771) is associated with this NPI, valid through February 8, 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 Canyon Pinole Surgery Center, LP was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.