PRESIDIO SURGERY CENTER LLC NPI 1609826361

NPI Information

  • NPI: 1609826361
  • Provider Name: PRESIDIO SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: PRESIDIO SURGERY CENTER
  • CLIA Number: 05D2110299
  • Address: 1635 DIVISADERO ST
    SUITE 200
    SAN FRANCISCO, CA
    ZIP 94115
  • Phone: (415) 346-1218

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NPI Details

PRESIDIO SURGERY CENTER, LLC is an ambulatory surgical clinic center in San Francisco, CA. PRESIDIO SURGERY CENTER, LLC NPI is 1609826361. The provider is registered as an organization entity type.
The provider Is Doing Business As Presidio Surgery Center.

The provider's business location address is:

1635 DIVISADERO ST
SUITE 200
SAN FRANCISCO, CA
ZIP 94115-036
Phone: (415) 346-1218

The provider's authorized official is Jessie Scott .
The authorized official title is Manager and has the following contact phone number (415) 600-1484.

The CLIA number assigned to this NPI record is 05D2110299 - physician office 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.

  • Injection, bupivacaine liposome, 1 mg (HCPCS:C9290)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Destruction of peripheral nerve or branch (HCPCS:64640)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Repair of groin hernia (5 years or older) (HCPCS:49505)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Repair of groin hernia using an endoscope (HCPCS:49650)
  • Anchoring of biceps tendon (HCPCS:23430)
  • Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device (HCPCS:25609)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Biopsy of prostate gland (HCPCS:55700)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Removal of gallbladder using an endoscope (HCPCS:47562)
  • Fusion of big toe at joint with foot (HCPCS:28750)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Transfer of tendon to back of hand (HCPCS:26480)

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/22/2020.

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 SurgicalTBDCALIFORNIAYes

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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