PACIFIC SURGERY CENTER LLC
NPI 1740178516
Clinic/Center - Ambulatory Surgical in Omaha, NE

Active since June 27, 2025CLIA 28D0454044 · Waiver
111 1/2 S 90TH ST, OMAHA, NE 68114(402) 397-7178 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Jun 27, 2025 (2 updates tracked since 2025).

About Pacific Surgery Center Llc NPPES

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

PACIFIC SURGERY CENTER LLC (NPI 1740178516), doing business as Pacific Surgery Center East, is a healthcare organization registered as an ambulatory surgical in Omaha, Nebraska and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John H Bishay, President, as its authorized official.

NPPES Registry Identity

NPI1740178516
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePACIFIC SURGERY CENTER LLC
Location Address111 1/2 S 90TH STOmaha, NE 68114-3907
Mailing Address10707 Pacific St Ste 100Omaha, NE 68114-4762 · (402) 397-7178 · Fax (402) 397-7591
Organization SubpartNo
Authorized OfficialJohn H BishayPresident · (402) 397-9800
Enumeration DateJune 27, 2025
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
NPI 1740178516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
111 1/2 S 90TH ST, Omaha, NE 68114

Other Names 1

Doing Business AsPacific Surgery Center East

Accepted Insurance

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 28D0454044

Pacific Surgery Center East · Omaha, NE
Active · expires Aug 31, 2026
CLIA Number28D0454044
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJon J. Morton
Laboratory Phone(402) 397-7178
Laboratory LocationPacific Surgery Center East111 1/2 S 90th Street, Omaha, NE 68114
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 2

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

Clinic/Center (Ambulatory Surgical)
111 1/2 S 90TH ST
OMAHA, NE 68114
Clinic/Center (Ambulatory Surgical)
111 1/2 S 90TH ST
OMAHA, NE 68114

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 Surgery Center LLC's NPI number?

The NPI number for Pacific Surgery Center LLC is 1740178516. It was assigned to this organization in the NPPES registry on June 27, 2025. The provider is doing business as Pacific Surgery Center East.

Where is Pacific Surgery Center LLC located?

Pacific Surgery Center LLC is located at 111 1/2 S 90th St, Omaha, NE 68114. The listed phone number is (402) 397-7178.

What is Pacific Surgery Center LLC's specialty?

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

Does Pacific Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0454044) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pacific Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer list Pacific Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pacific Surgery Center LLC was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.