WAVERLEY SURGERY CENTER
NPI 1619944824
Clinic/Center - Ambulatory Surgical in Palo Alto, CA

Q: What is Waverley Surgery Center LLC's NPI number?

The NPI number for Waverley Surgery Center LLC is 1619944824. It was assigned to this organization in the NPPES registry on March 7, 2006. The provider is doing business as Waverley Surgery Center.

Q: What is Waverley Surgery Center LLC's specialty?

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

Active since March 07, 2006CLIA 05D0999352 · Waiver

400 FOREST AVE, PALO ALTO, CA 94301(650) 324-0600(650) 289-1620 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Waverley Surgery Center NPPES

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

WAVERLEY SURGERY CENTER (NPI 1619944824) is a healthcare organization registered as an ambulatory surgical in Palo Alto, California and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Jeffrey Snodgrass, President Of Llc, as its authorized official.

NPPES Registry Identity

NPI1619944824

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameWAVERLEY SURGERY CENTER LLC

Location Address400 FOREST AVEPalo Alto, CA 94301-2608

Mailing Address1a Burton Hills Blvd, Attn: L&cNashville, TN 37215-6187 · (615) 240-3820 · Fax (615) 234-1720

Phone(650) 324-0600

Fax(650) 289-1620

Organization SubpartNo

Authorized OfficialJeffrey SnodgrassPresident Of Llc · (615) 263-4011

Enumeration DateMarch 7, 2006

Last NPPES UpdateOctober 19, 2022

NPPES CertifiedOctober 19, 2022

✔ NPI 1619944824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in CA · 220000472

400 FOREST AVE, Palo Alto, CA 94301

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Other Names 1

Doing Business AsWaverley Surgery Center

Other Identifiers 1

OtherSUR01547FCA · Medical

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 05D0999352

Waverly Surgery Center, LLC · Palo Alto, CA

Active · expires May 9, 2028

CLIA Number05D0999352

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 10, 2026

Certificate Expiration DateMay 9, 2028

Laboratory DirectorRichard Novak, MD

Laboratory Phone(650) 324-0600

Laboratory LocationWaverly Surgery Center, LLC400 Forest Avenue, Palo Alto, CA 94301

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

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.

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.

610 services608 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.

532 services514 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.

464 services461 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

197 services197 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

94 services93 patients

Removal of large bowel tissue using a flexible endoscope 45390

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

77 services76 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.

59 services59 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

26 services26 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

18 services18 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

18 services17 patients

Removal of both knee cartilages using an endoscope 29880

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

17 services17 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

13 services13 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

12 services12 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 Waverley Surgery Center LLC's NPI number?

The NPI number for Waverley Surgery Center LLC is 1619944824. It was assigned to this organization in the NPPES registry on March 7, 2006. The provider is doing business as Waverley Surgery Center.

Where is Waverley Surgery Center LLC located?

Waverley Surgery Center LLC is located at 400 Forest Ave, Palo Alto, CA 94301. The listed phone number is (650) 324-0600.

What is Waverley Surgery Center LLC's specialty?

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

Does Waverley Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0999352) is associated with this NPI, valid through May 9, 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 Waverley Surgery Center LLC was last updated on October 19, 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.