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

Active since August 01, 2011CLIA 05D2035393 · Waiver
77 VAN NESS AVE, #301, SAN FRANCISCO, CA 94102(415) 821-8015(415) 379-9045 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hayes Valley Surgery Center NPPES

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

HAYES VALLEY SURGERY CENTER (NPI 1508144007) is a healthcare organization registered as an ambulatory surgical in San Francisco, California and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through January 16, 2028 and lists Edward Miranda, Manager, as its authorized official.

NPPES Registry Identity

NPI1508144007
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePACIFIC SPECIALIST SURGICAL CENTER LLC
Location Address77 VAN NESS AVE, #301San Francisco, CA 94102-6041
Mailing Address77 Van Ness Ave, #301San Francisco, CA 94102-6041 · (415) 821-8015 · Fax (415) 379-9045
Fax(415) 379-9045
Organization SubpartNo
Authorized OfficialEdward MirandaManager · (415) 379-9015
Enumeration DateAugust 1, 2011
Last NPPES UpdateMay 30, 2012
NPI 1508144007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
77 VAN NESS AVE, San Francisco, CA 94102

Other Names 1

Doing Business AsHayes Valley 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 05D2035393

Hayes Valley Surgery Center · San Francisco, CA
Active · expires Jan 16, 2028
CLIA Number05D2035393
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 17, 2026
Certificate Expiration DateJanuary 16, 2028
Laboratory DirectorEdward P. Miranda
Laboratory Phone(415) 379-9015
Laboratory LocationHayes Valley Surgery Center77 Van Ness Ave Ste 301, San Francisco, CA 94102
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

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

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 Pacific Specialist Surgical Center LLC's NPI number?

The NPI number for Pacific Specialist Surgical Center LLC is 1508144007. It was assigned to this organization in the NPPES registry on August 1, 2011. The provider is doing business as Hayes Valley Surgery Center.

Where is Pacific Specialist Surgical Center LLC located?

Pacific Specialist Surgical Center LLC is located at 77 Van Ness Ave #301, San Francisco, CA 94102. The listed phone number is (415) 821-8015.

What is Pacific Specialist Surgical Center LLC's specialty?

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

Does Pacific Specialist Surgical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2035393) is associated with this NPI, valid through January 16, 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 Pacific Specialist Surgical Center LLC was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.