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PENINSULA SURGERY CENTER, LLC
NPI 1740891571
Clinic/Center - Ambulatory Surgical in Redwood City, CA

Active since August 14, 2020CLIA 05D2265093 · Waiver
350 MARINE PKWY STE 100, REDWOOD CITY, CA 94065(510) 406-9731 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peninsula Surgery Center, Llc NPPES

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

PENINSULA SURGERY CENTER, LLC (NPI 1740891571) is a healthcare organization registered as an ambulatory surgical in Redwood City, California and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through July 21, 2028 and lists Trevin Hunt, Administrator, as its authorized official.

NPPES Registry Identity

NPI1740891571
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePENINSULA SURGERY CENTER, LLC
Location Address350 MARINE PKWY STE 100Redwood City, CA 94065-5224
Mailing Address2299 Mowry AveFremont, CA 94538-1621 · (510) 406-9731
Phone(510) 406-9731
Organization SubpartNo
Authorized OfficialTrevin HuntAdministrator · (510) 406-9731
Enumeration DateAugust 14, 2020
NPPES CertifiedAugust 14, 2020
✔ NPI 1740891571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
350 MARINE PKWY STE 100, Redwood City, CA 94065
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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 05D2265093

Peninsula Surgery Center · Redwood City, CA
Active · expires Jul 21, 2028
CLIA Number05D2265093
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorJohn Dearborn
Laboratory Phone(650) 865-6415
Laboratory LocationPeninsula Surgery Center350 Marine Parkway Suite 100, Redwood City, CA 94065
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.

Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg C9088
Instillation of bupivacaine and meloxicam involves administering these medications into your body, usually through an injection. Bupivacaine is a local anesthetic that numbs specific areas, and meloxicam is an anti-inflammatory drug that reduces pain and swelling.
75,000 services186 patients
Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
2,527 services19 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
161 services159 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
113 services110 patients
Manipulation of knee joint under anesthesia 27570
Manipulation of the knee joint under anesthesia is a procedure done to improve knee mobility. You are put to sleep and the doctor moves your knee in different directions to break up scar tissue. This helps to increase range of motion and reduce stiffness.
24 services21 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
20 services20 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 Peninsula Surgery Center, LLC's NPI number?

The NPI number for Peninsula Surgery Center, LLC is 1740891571. It was assigned to this organization in the NPPES registry on August 14, 2020.

Where is Peninsula Surgery Center, LLC located?

Peninsula Surgery Center, LLC is located at 350 Marine Pkwy Ste 100, Redwood City, CA 94065. The listed phone number is (510) 406-9731.

What is Peninsula Surgery Center, LLC's specialty?

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

Does Peninsula Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2265093) is associated with this NPI, valid through July 21, 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 Peninsula Surgery Center, LLC was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.