PACIFIC SURGERY CENTER LLC NPI 1720334097

NPI Information

  • NPI: 1720334097
  • Provider Name: PACIFIC SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 28D2051578
  • Address: 10707 PACIFIC ST STE 100
    OMAHA, NE
    ZIP 68114
  • Phone: (402) 933-1844

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NPI Details

PACIFIC SURGERY CENTER, LLC is an ambulatory surgical clinic center in Omaha, NE. PACIFIC SURGERY CENTER, LLC NPI is 1720334097. The provider is registered as an organization entity type.

The provider's business location address is:

10707 PACIFIC ST STE 100
OMAHA, NE
ZIP 68114-762
Phone: (402) 933-1844
Fax: (402) 932-5891

The provider's authorized official is Euclid Desouza .
The authorized official title is Board Member and has the following contact phone number (402) 391-2166.

The CLIA number assigned to this NPI record is 28D2051578 - 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.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Insertion of sacral nerve neurostimulator electrode array (HCPCS:64561)
  • Biopsy of prostate gland (HCPCS:55700)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Insertion of peripheral or gastric neurostimulator generator (HCPCS:64590)
  • Injection of implant material beneath lining of bladder and/or urethra using an endoscope (HCPCS:51715)
  • Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope (HCPCS:52214)
  • Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Creation of sling around urethra in female to control leakage (HCPCS:57288)
  • Insertion of sacral nerve neurostimulator electrode (HCPCS:64581)
  • Repair of herniated rectum into vaginal wall (HCPCS:57250)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Simple change of bladder tube (HCPCS:51705)
  • Revision of peripheral or gastric neurostimulator generator (HCPCS:64595)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm (HCPCS:52235)
  • Dilation of urethra using an endoscope (HCPCS:52281)
  • Plastic repair of vagina and tissue separating vagina, rectum, and bladder (HCPCS:57260)
  • Removal or revision of incontinence sling (HCPCS:57287)
  • Suture closure of vagina and vaginal opening (HCPCS:57120)

The enumeration date for this NPI number is 7/24/2012 and was last updated on 8/19/2013.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NA2347OTHERNEBRASKAPTAN

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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