EXECUTIVE SURGERY CENTER, INC.
NPI 1952698078
Clinic/Center - Ambulatory Surgical in Danville, CA

Active since July 10, 2011CLIA 05D2077548 · Waiver
1320 EL CAPITAN DR, SUITE 100, DANVILLE, CA 94526(925) 963-0759 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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, 2026 and lists Salim Shelby, Owner, as its authorized official.

NPPES Registry Identity

NPI1952698078
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEXECUTIVE SURGERY CENTER, INC.
Location Address1320 EL CAPITAN DR, SUITE 100Danville, CA 94526-6258
Mailing Address1320 El Capitan Dr, Suite 100Danville, CA 94526-6258 · (925) 963-0759
Organization SubpartNo
Authorized OfficialSalim ShelbyOwner · (925) 963-0759
Enumeration DateJuly 10, 2011
Last NPPES UpdateApril 20, 2012
NPI 1952698078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in CA · A69275
1320 EL CAPITAN DR, Danville, CA 94526

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, CA
Active · expires Oct 20, 2026
CLIA Number05D2077548
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorSalim Shelby MD
Laboratory Phone(925) 866-9300
Laboratory LocationExecutive Surgery Center Inc1320 El Capitan Dr Ste 100, Danville, CA 94526
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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
855 services331 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
620 services603 patients
Biopsy of small bowel (except ileum) using an endoscope 44361
A small bowel biopsy involves using a thin, flexible tube called an endoscope to examine the small intestine and take a small tissue sample. This sample is then examined under a microscope for any abnormalities. It's a safe, minimally invasive procedure.
533 services520 patients
Injection beneath lining of large bowel using a flexible endoscope 45381
This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.
490 services484 patients
Removal of large bowel tissue using a flexible endoscope 45390
This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.
481 services476 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
323 services320 patients

Other Providers at the Same Location NPPES 18

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1320 EL CAPITAN DR, SUITE 200
DANVILLE, CA 94526
Surgery
1320 EL CAPITAN DR, STE 120
DANVILLE, CA 94526
Family Medicine
1320 EL CAPITAN DR, SUITE 310
DANVILLE, CA 94526
Dermatology
1320 EL CAPITAN DR
DANVILLE, CA 94526
Orthopaedic Surgery
1320 EL CAPITAN DR, SUITE 200
DANVILLE, CA 94526
Orthopaedic Surgery
1320 EL CAPITAN DR, SUITE 200
DANVILLE, CA 94526
Family Medicine
1320 EL CAPITAN DR, STE 400
DANVILLE, CA 94526
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1320 EL CAPITAN DR, SUITE 120
DANVILLE, CA 94526

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.

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, 2026. 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.