PACIFIC COAST AMBULATORY SURGICENTER
NPI 1669405684
Clinic/Center - Ambulatory Surgical in San Clemente, CA

NPI Status: Active since July 10, 2006

Contact Information

665 CAMINO DE LOS MARES
SUITE 100C
SAN CLEMENTE, CA
ZIP 92673
Phone: (949) 481-7760

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D1098127
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-12-2027

About PACIFIC COAST AMBULATORY SURGICENTER

This page provides the complete NPI Profile along with additional information for Pacific Coast Ambulatory Surgicenter, a provider established in San Clemente, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1669405684 assigned on July 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 18448 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Pacific Coast Ambulatory Surgicenter. The authorized official of this NPI record is Chris Gangnes (General Manager)

NPI
1669405684
Provider Legal Name
PACIFICOAST AMBULATORY SURGICENTER, LLC.
Other Organization Name
PACIFIC COAST AMBULATORY SURGICENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
665 CAMINO DE LOS MARES SUITE 100C SAN CLEMENTE, CA 92673
Location Phone
(949) 481-7760
Mailing Address
665 CAMINO DE LOS MARES SUITE 100C SAN CLEMENTE, CA 92673
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2006
Last Update Date
12-15-2015
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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
License No.
18448
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

CHRIS GANGNES

Authorized Official Title
GENERAL MANAGER
Authorized Official Phone
(949) 276-4141

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
18448OTHER (01)CASTATE LIC. #
CY996AMEDICARE PIN (08)CA 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

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

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.

This service was performed 35 times for 33 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

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.

This service was performed 207 times for 202 patients

Biopsy of large bowel using a flexible endoscope

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.

This service was performed 223 times for 219 patients

Colorectal cancer screening; colonoscopy on individual at high risk

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.

This service was performed 18 times for 17 patients

Diagnostic exam of large bowel using a flexible endoscope

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.

This service was performed 37 times for 35 patients

Injection beneath lining of large bowel using a flexible endoscope

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.

This service was performed 13 times for 13 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

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.

This service was performed 157 times for 157 patients

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
05D1098127
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 13, 2025
Certificate Expiration Date
April 12, 2027
Laboratory Director
RICHARD A. GANGNES, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pacific Coast Ambulatory Surgicenter 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.

Reviews for PACIFIC COAST AMBULATORY SURGICENTER

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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 1669405684, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
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 6 → 12 → 3 4 → 8 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 8 + 0 + 1 + 0 + 6 + 1 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1669405684.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
665 CAMINO DE LOS MARES, STE 208
SAN CLEMENTE, CA 92673
Internal Medicine
665 CAMINO DE LOS MARES, SUITE 301
SAN CLEMENTE, CA 92673
Clinic/Center (Ambulatory Surgical)
665 CAMINO DE LOS MARES, SUITE 103
SAN CLEMENTE, CA 92673
Internal Medicine
665 CAMINO DE LOS MARES, 210
SAN CLEMENTE, CA 92673
Internal Medicine
665 CAMINO DE LOS MARES, #210
SAN CLEMENTE, CA 92673
Internal Medicine (Cardiovascular Disease)
665 CAMINO DE LOS MARES, STE. 305
SAN CLEMENTE, CA 92673
Internal Medicine (Cardiovascular Disease)
665 CAMINO DE LOS MARES, STE 305
SAN CLEMENTE, CA 92673
Pain Medicine (Pain Medicine)
665 CAMINO DE LOS MARES, SUITE 202
SAN CLEMENTE, CA 92673
Internal Medicine
665 CAMINO DE LOS MARES, STE 210
SAN CLEMENTE, CA 92673
Dentist (Endodontics)
665 CAMINO DE LOS MARES, SUITE 204
SAN CLEMENTE, CA 92673
Dentist
665 CAMINO DE LOS MARES, #205
SAN CLEMENTE, CA 92673
Obstetrics & Gynecology
665 CAMINO DE LOS MARES, STE 303-A
SAN CLEMENTE, CA 92673
Anesthesiology
665 CAMINO DE LOS MARES, #103
SAN CLEMENTE, CA 92673
Psychologist (Clinical)
665 CAMINO DE LOS MARES, SUITE 104
SAN CLEMENTE, CA 92673
Anesthesiology
665 CAMINO DE LOS MARES, SUITE 202
SAN CLEMENTE, CA 92673
Psychologist (Clinical)
665 CAMINO DE LOS MARES, SUITE 104
SAN CLEMENTE, CA 92673
Advanced Practice Midwife
665 CAMINO DE LOS MARES, SUITE 203A
SAN CLEMENTE, CA 92673
Dentist (General Practice)
665 CAMINO DE LOS MARES, SUITE 303
SAN CLEMENTE, CA 92673
Dentist (General Practice)
665 CAMINO DE LOS MARES, SUITE 303
SAN CLEMENTE, CA 92673
Obstetrics & Gynecology
665 CAMINO DE LOS MARES, SUITE 203A
SAN CLEMENTE, CA 92673

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669405684, enumerated as an "organization" on July 10, 2006.

The provider is located at 665 CAMINO DE LOS MARES SUITE 100C SAN CLEMENTE, CA 92673 and the phone number is (949) 481-7760.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.