Genesis Ambulatory Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GENESIS AMBULATORY SURGERY CENTER INC

Practice address

1401 N Tustin Ave Ste 105
Santa Ana, CA 92705-8679

Phone

(949) 837-3000

Fax

(949) 259-6978

NPI assigned

Oct 2, 2023

Organization subpart

Yes

Parent organization

GENESIS AMBULATORY SURGERY CENTER INCAs reported in NPPES

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

Authorized official

Name

Yasser Hilmy Salem, MDNPI 1306927124

Title

Ceo

Phone

(714) 545-5200

Specialties & licenses 1

Addresses

Other names 1

• Genesis Ambulatory Surgery Center, Inc. Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 55C0001188

Legal name

Genesis Ambulatory Surgery Center Inc

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Mar 27, 2025

Last certification

Feb 12, 2025

Facility address

1401 N Tustin Ave, Ste 105
Santa Ana, CA 92705

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Genesis Ambulatory Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Foothill Ranch, CA
  • NPI 1609108083

  6204068703

  Same PAC ID

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

CLIA laboratory certificates

Part of

Genesis Ambulatory Surgery Center Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Genesis Ambulatory Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Foothill Ranch, CA
  • NPI 1609108083
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yasser Hilmey Salem, MD

  • Surgery Physician
  • Huntington Beach, CA
  • NPI 1306927124
  NPD (past) Authorized official
• Hisham Mohamed Seify, MD

  • Plastic and Reconstructive Surgery Physician
  • Newport Beach, CA
  • NPI 1629163365
  NPD (past)

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1114707601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2393",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928590393",
            "telephone_number": "949-837-3000",
            "fax_number": "949-259-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N TUSTIN AVE STE 105",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058679",
            "telephone_number": "949-837-3000",
            "fax_number": "949-259-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS AMBULATORY SURGERY CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS AMBULATORY SURGERY CENTER INC",
        "enumeration_date": "2023-10-02",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "YASSER",
        "authorized_official_middle_name": "HILMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-545-5200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Ambulatory Surgery Center, Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Genesis Ambulatory Surgery Center, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carole Gelker, PHD
• Alexandra Lindsay Geltman
• Nabil S Gemayel
• Nancy Gemayel, PSY.D
• Genesis
• Genoa Healthcare LLC
• Gentle Butterfly Phlebotomy Services LLC
• Geoffery Odega
• Kendall Nicole Georgatsos, ACSW
• George Georgieff, DDS, Inc.

• Ambulatory Surgical Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, 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 Sep 8, 2025; 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.