Organization Active NPI

Campus Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Daly City, CA
National Provider Identifier
1063427557
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CAMPUS SURGERY CENTER LLC
Practice address
901 Campus Dr Ste 102
Daly City, CA 94015-4930
Phone
(650) 991-2000
Fax
(650) 755-8638
NPI assigned
Jul 31, 2006
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Jeffrey E Snodgrass
Title
President
Phone
(615) 665-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

901 Campus Dr Ste 102
Daly City, CA 94015-4930

Mailing address

1A Burton Hills Blvd Ste 300
Nashville, TN 37215-6153
Phone (615) 240-3715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061127000323 CA Part B Supplier - Ambulatory Surgical Center 5092713123 Practice locations: Daly City, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063427557. Details of each certification follow.

Hospital certification: CCN 050833

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CAMPUS SURGERY CENTER
Certification status
Terminated Voluntary: merger or closure, Mar 1, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Feb 3, 2021
Last certification
Feb 3, 2021
Beds
1
Ownership / control type
Private (for profit)
Facility address
901 Campus Drive Suite 102
Daly City, CA 94015

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Campus Surgery Center LLCCCN 05C0001189
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0912726Campus Surgery Center, LLC901 Campus Drive, Ste 102, Daly City, CA 94015Certificate of waiverMar 10, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1063427557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156153",
            "telephone_number": "615-240-3715",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DR STE 102",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154930",
            "telephone_number": "650-991-2000",
            "fax_number": "650-755-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPUS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.