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

Q: What is Pacificoast Ambulatory Surgicenter, LLC.'s specialty?

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

Active since July 10, 2006CLIA 05D1098127 · Waiver

665 CAMINO DE LOS MARES, SUITE 100C, SAN CLEMENTE, CA 92673(949) 481-7760 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pacific Coast Ambulatory Surgicenter NPPES

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

PACIFIC COAST AMBULATORY SURGICENTER (NPI 1669405684) is a healthcare organization registered as an ambulatory surgical in San Clemente, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Chris Gangnes, General Manager, as its authorized official.

NPPES Registry Identity

NPI1669405684

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePACIFICOAST AMBULATORY SURGICENTER, LLC.

Location Address665 CAMINO DE LOS MARES, SUITE 100CSan Clemente, CA 92673-2859

Mailing Address665 Camino De Los Mares, Suite 100cSan Clemente, CA 92673-2859

Phone(949) 481-7760

Organization SubpartNo

Authorized OfficialChris GangnesGeneral Manager · (949) 276-4141

Enumeration DateJuly 10, 2006

Last NPPES UpdateDecember 15, 2015

✔ NPI 1669405684 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 · 18448

665 CAMINO DE LOS MARES, San Clemente, CA 92673

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Other Names 1

Doing Business AsPacific Coast Ambulatory Surgicenter

Other Identifiers 2

Other18448CA · State Lic. #

Medicare PINCY996ACA

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 05D1098127

Pacific Coast Ambulatory Surgicenter · San Clemente, CA

Active · expires Apr 12, 2027

CLIA Number05D1098127

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateApril 13, 2025

Certificate Expiration DateApril 12, 2027

Laboratory DirectorRichard A. Gangnes, MD

Laboratory Phone(949) 481-7760

Laboratory LocationPacific Coast Ambulatory Surgicenter665 Camino De Los Mares #100c, San Clemente, CA 92673

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 7

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.

253 services253 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.

224 services218 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.

177 services176 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.

41 services41 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.

34 services33 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.

15 services15 patients

Other Providers at the Same Location NPPES 20

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

ANESTHESIA SNOOZ INC

Anesthesiology

665 CAMINO DE LOS MARES, #103
SAN CLEMENTE, CA 92673

Orange County (760) 729-7101

DR. GABRIEL CARABULEA M.D.

Internal Medicine (Hematology & Oncology)

665 CAMINO DE LOS MARES, STE 208
SAN CLEMENTE, CA 92673

Orange County (714) 466-0787

JOHN RUSSELL GORNY M.D.

Obstetrics & Gynecology

665 CAMINO DE LOS MARES, SUITE 203A
SAN CLEMENTE, CA 92673

Orange County (949) 661-3101

DANIEL T. TAM, M.D. INC

Internal Medicine (Cardiovascular Disease)

665 CAMINO DE LOS MARES, STE 305
SAN CLEMENTE, CA 92673

Orange County (949) 493-0811

WILLIAM CAPOBIANCO, D.D.S., INC

Dentist (General Practice)

665 CAMINO DE LOS MARES, SUITE 303
SAN CLEMENTE, CA 92673

Orange County (949) 443-2404

FARAMARZ PAYANDEH MD

Internal Medicine

665 CAMINO DE LOS MARES, #210
SAN CLEMENTE, CA 92673

Orange County (714) 665-1600

MRS. DENA MARIE DE LA TORRE CNM, WHCNP

Advanced Practice Midwife

665 CAMINO DE LOS MARES, SUITE 203A
SAN CLEMENTE, CA 92673

Orange County (949) 661-3101

DR. NICHOLAS C SALVATI DMD

Dentist

665 CAMINO DE LOS MARES, #205
SAN CLEMENTE, CA 92673

Orange County (949) 443-0161

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 Pacificoast Ambulatory Surgicenter, LLC.'s NPI number?

The NPI number for Pacificoast Ambulatory Surgicenter, LLC. is 1669405684. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Pacific Coast Ambulatory Surgicenter.

Where is Pacificoast Ambulatory Surgicenter, LLC. located?

Pacificoast Ambulatory Surgicenter, LLC. is located at 665 Camino De Los Mares Suite 100C, San Clemente, CA 92673. The listed phone number is (949) 481-7760.

What is Pacificoast Ambulatory Surgicenter, LLC.'s specialty?

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

Does Pacificoast Ambulatory Surgicenter, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1098127) is associated with this NPI, valid through April 12, 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 Pacificoast Ambulatory Surgicenter, LLC. was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.