PAVILION SURGERY CENTER LLC NPI 1356878052

NPI Information

  • NPI: 1356878052
  • Provider Name: PAVILION SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D2140151
  • Address: 1140 W LA VETA AVE
    ORANGE, CA
    ZIP 92868
  • Phone: (714) 744-8711

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NPI Details

PAVILION SURGERY CENTER LLC is an ambulatory surgical clinic center in Orange, CA. PAVILION SURGERY CENTER LLC NPI is 1356878052. The provider is registered as an organization entity type.

The provider's business location address is:

1140 W LA VETA AVE
ORANGE, CA
ZIP 92868-225
Phone: (714) 744-8711

The provider's authorized official is Brian Giessler .
The authorized official title is Sr Vp Of Asc Ops & Business Svcs and has the following contact phone number (480) 207-3716.

The CLIA number assigned to this NPI record is 05D2140151 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Partial removal of breast (HCPCS:19301)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Creation of shunt to improve eye fluid flow using tissue graft (HCPCS:66180)
  • Shock wave crushing of kidney stones (HCPCS:50590)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Destruction of lens tissue using laser (HCPCS:66710)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Biopsy or removal of deep lymph nodes of underarm (HCPCS:38525)
  • Removal and replacement of dual lead permanent pacemaker (HCPCS:33228)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Biopsy of lining of uterus and/or removal of polyp using an endoscope (HCPCS:58558)
  • Simple complete removal of breast (HCPCS:19303)
  • Placement of implant on separate day of breast reconstruction (HCPCS:19342)
  • Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS:33208)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Graft using patient's fat removed by liposuction and inserted into trunk, breasts, scalp, arms, or legs, 50.0 cc or less (HCPCS:15771)
  • Exchange of prosthetic lens (HCPCS:66986)
  • Biopsy or removal of lymph nodes (HCPCS:38500)
  • Removal of membrane of retina (HCPCS:67041)
  • Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS:67113)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Insertion of heart rhythm monitor under skin (HCPCS:33285)
  • Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Creation of eye fluid drainage tract for treatment of glaucoma (HCPCS:66170)
  • Destruction of eye fluid (vitreous) between lens and retina using a laser (HCPCS:67039)

The enumeration date for this NPI number is 5/12/2017 and was last updated on 3/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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