HAYES VALLEY SURGERY CENTER
NPI 1508144007
Clinic/Center - Ambulatory Surgical in San Francisco, CA

NPI Status: Active since August 01, 2011

Contact Information

77 VAN NESS AVE
#301
SAN FRANCISCO, CA
ZIP 94102
Phone: (415) 821-8015
Fax: (415) 379-9045

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2035393
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 01-16-2028

About HAYES VALLEY SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Hayes Valley Surgery Center, a provider established in San Francisco, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1508144007 assigned on August 2011. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Hayes Valley Surgery Center. The authorized official of this NPI record is Dr. Edward Miranda Md (Manager)

NPI
1508144007
Provider Legal Name
PACIFIC SPECIALIST SURGICAL CENTER LLC
Other Organization Name
HAYES VALLEY SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
77 VAN NESS AVE #301 SAN FRANCISCO, CA 94102
Location Phone
(415) 821-8015
Location Fax
(415) 379-9045
Mailing Address
77 VAN NESS AVE #301 SAN FRANCISCO, CA 94102
Mailing Phone
(415) 821-8015
Mailing Fax
(415) 379-9045
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2011
Last Update Date
05-30-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. EDWARD MIRANDA MD

Authorized Official Title
MANAGER
Authorized Official Phone
(415) 379-9015

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2035393
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
January 17, 2026
Certificate Expiration Date
January 16, 2028
Laboratory Director
EDWARD P. MIRANDA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hayes Valley Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508144007, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 2 + 4 + 8 + 0 + 0 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1508144007.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Plastic Surgery
77 VAN NESS AVE, SUITE 302
SAN FRANCISCO, CA 94102
Plastic Surgery
77 VAN NESS AVE, SUITE 302
SAN FRANCISCO, CA 94102
Nurse's Aide
77 VAN NESS AVE
SAN FRANCISCO, CA 94102
Nurse's Aide
77 VAN NESS AVE
SAN FRANCISCO, CA 94102
Nurse's Aide
77 VAN NESS AVE
SAN FRANCISCO, CA 94102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508144007, enumerated as an "organization" on August 01, 2011.

The provider is located at 77 VAN NESS AVE #301 SAN FRANCISCO, CA 94102 and the phone number is (415) 821-8015.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.