Pacific Heights Surgery Center of San Francisco LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

220000492 Issued in CA

Legal business name

PACIFIC HEIGHTS SURGERY CENTER OF SAN FRANCISCO LP

Practice address

3000 California St
2ND Floor
San Francisco, CA 94115-2411

Phone

(415) 561-1171

NPI assigned

Jan 9, 2007

Last updated

Jan 7, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David W Odell

Title

Authorized Official

Phone

(888) 282-7472

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003965328. Details of each certification follow.

• CCN 050788 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 050788

Legal name

PACIFIC HEIGHTS SURGERY CENTER OF SAN FRANCISCO, L

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Apr 15, 2020

Last certification

Apr 15, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

3000 California Street 2ND Floor
San Francisco, CA 94115

Listed as

Pacific Heights Surgery Center LPCCN 05C0001661

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lesley J Anderson, MD

  • Orthopaedic Surgery Physician
  • San Francisco, CA
  • NPI 1205945003
  NPD (past)
• Marvin Yukming Lo, MD

  • Orthopaedic Surgery Physician
  • San Mateo, CA
  • NPI 1982864393
  NPD (past)
• Austin T. Fragomen, M.D.

  • Orthopaedic Surgery Physician
  • New York, NY
  • NPI 1366453235
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1003965328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CALIFORNIA ST",
            "address_2": "2ND FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152411",
            "telephone_number": "415-561-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CALIFORNIA ST",
            "address_2": "2ND FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152411",
            "telephone_number": "415-561-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEIGHTS SURGERY CENTER OF SAN FRANCISCO LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "888-282-7472"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "220000492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Forensic Psychology Associates (Sharper Future)
• Pacific Gynecology & Obstetrics Medical Group Inc
• Pacific Gynecology Surgical Group Inc
• Pacific Heights Medical Group
• Pacific Heights Medical Group
• Pacific Heights Surgery Center of San Francisco, LP
• Pacific Hematology Oncology Assoc
• Pacific Horizon Medical Group Inc.
• Pacific Inpatient Medical Group
• Pacific Institute

• Ambulatory Surgical Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.