PACIFIC CARE SURGERY CENTER LLC
NPI 1902329899
Clinic/Center - Ambulatory Surgical in Santa Monica, CA

Active since July 21, 2017CLIA 05D2148980 · Waiver
1304 15TH ST STE 403, SANTA MONICA, CA 90404(310) 453-6500 Get Directions Write a Review

NPPES record last updated: July 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pacific Care Surgery Center Llc NPPES

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

PACIFIC CARE SURGERY CENTER LLC (NPI 1902329899) is a healthcare organization registered as an ambulatory surgical in Santa Monica, California and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through May 21, 2028 and lists Payam Daneshrad, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1902329899
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePACIFIC CARE SURGERY CENTER LLC
Location Address1304 15TH ST STE 403Santa Monica, CA 90404-1813
Mailing Address1304 15th St Ste 403Santa Monica, CA 90404-1813
Organization SubpartNo
Authorized OfficialPayam DaneshradMedical Director · (310) 453-6500
Enumeration DateJuly 21, 2017
NPI 1902329899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1304 15TH ST STE 403, Santa Monica, CA 90404

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 05D2148980

Pacific Care Surgery Center · Santa Monica, CA
Active · expires May 21, 2028
CLIA Number05D2148980
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorPayam Daneshrad, MD
Laboratory Phone(310) 453-6500
Laboratory LocationPacific Care Surgery Center1304 15th Street Ste 403, Santa Monica, CA 90404
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

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

Dentist
1304 15TH ST STE 403
SANTA MONICA, CA 90404

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 Care Surgery Center LLC's NPI number?

The NPI number for Pacific Care Surgery Center LLC is 1902329899. It was assigned to this organization in the NPPES registry on July 21, 2017.

Where is Pacific Care Surgery Center LLC located?

Pacific Care Surgery Center LLC is located at 1304 15th St Ste 403, Santa Monica, CA 90404. The listed phone number is (310) 453-6500.

What is Pacific Care 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 Care Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2148980) is associated with this NPI, valid through May 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 Pacific Care Surgery Center LLC was last updated on July 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.