EXECUTIVE SURGERY CENTER, INC.
NPI 1952698078
Clinic/Center - Ambulatory Surgical in Danville, CA
About Executive Surgery Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EXECUTIVE SURGERY CENTER, INC. (NPI 1952698078) is a healthcare organization registered as an ambulatory surgical in Danville, California and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through October 20, 2028 and lists Salim Shelby, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Executive Surgery Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Executive Surgery Center, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 05D2077548
Executive Surgery Center Inc · Danville, CAAreas 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.
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 Executive Surgery Center, Inc.'s NPI number?
The NPI number for Executive Surgery Center, Inc. is 1952698078. It was assigned to this organization in the NPPES registry on July 10, 2011.
Where is Executive Surgery Center, Inc. located?
Executive Surgery Center, Inc. is located at 1320 El Capitan Dr Suite 100, Danville, CA 94526. The listed phone number is (925) 963-0759.
What is Executive Surgery Center, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Executive Surgery Center, Inc. enrolled in Medicare?
Yes. Executive Surgery Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Executive Surgery Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Executive Surgery Center, Inc.. 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. The largest specialties are Gastroenterology (4) and Physical Medicine and Rehabilitation (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Executive Surgery Center, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2077548) is associated with this NPI, valid through October 20, 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 Executive Surgery Center, Inc. was last updated on April 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Executive Surgery Center, Inc. · NPI 1952698078
Ambulatory Surgical organization in Danville, California. Organization record, active in the CMS NPPES registry since July 10, 2011.
## Identity
- **NPI:** 1952698078 (Entity type: Organization)
- **Enumerated:** July 10, 2011
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Salim Shelby, OWNER
## Practice location
- **Address:** 1320 EL CAPITAN DR, SUITE 100, Danville, CA 94526-6258
- **Phone:** (925) 963-0759
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Gastroenterology (4), Physical Medicine and Rehabilitation (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2012
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952698078) · Data from the CMS NPPES public registry.