PACIFIC SURGERY CENTER
NPI 1699863258
Clinic/Center - Ambulatory Surgical in Oceanside, CA
About Pacific Surgery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC SURGERY CENTER (NPI 1699863258) is a healthcare organization registered as an ambulatory surgical in Oceanside, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through July 9, 2028 and lists Robert Eugene Wailes, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pacific Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Pacific Surgery Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D1001420
Pacific Surgery Center · Oceanside, CAAreas of Expertise CMS Part B claims 11
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.
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 Robert E Wailes MD A Professional's NPI number?
The NPI number for Robert E Wailes MD A Professional is 1699863258. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Pacific Surgery Center.
Where is Robert E Wailes MD A Professional located?
Robert E Wailes MD A Professional is located at 3998 Vista Way Ste C106, Oceanside, CA 92056. The listed phone number is (760) 941-2600.
What is Robert E Wailes MD A Professional's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Robert E Wailes MD A Professional enrolled in Medicare?
Yes. Robert E Wailes MD A Professional is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Robert E Wailes MD A Professional?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Robert E Wailes MD A Professional, in Interventional Pain Management and Physical Medicine and Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Robert E Wailes MD A Professional hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D1001420) is associated with this NPI, valid through July 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 Robert E Wailes MD A Professional was last updated on September 21, 2016. 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.
# Pacific Surgery Center · NPI 1699863258
Ambulatory Surgical organization in Oceanside, California. Organization record, active in the CMS NPPES registry since October 10, 2006.
## Identity
- **NPI:** 1699863258 (Entity type: Organization)
- **Enumerated:** October 10, 2006
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** Robert E Wailes Md A Professional
- **Organization subpart:** No
- **Authorized official:** Robert Wailes, CEO
## Practice location
- **Address:** 3998 VISTA WAY STE C106, Oceanside, CA 92056-4500
- **Phone:** (760) 941-2600 · **Fax:** (760) 941-4814
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Pain Management (2), Physical Medicine and Rehabilitation (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2016
- **Other identifiers:** Medicare PIN S051203 (CA)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1699863258) · Data from the CMS NPPES public registry.