Mission Hills Surgicenter, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

S051767 Issued in CA

Legal business name

MISSION HILLS SURGICENTER, LLC

Practice address

25982 Pala
Suite#280
Mission Viejo, CA 92691-6719

Phone

(949) 297-3838

Fax

(949) 297-3839

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Anna Gerayli

Title

Administrator

Phone

(949) 230-5776

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mission Hills Pain Treatment Center Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 05C0001767

Legal name

MISSION HILLS PAIN TREATMENT CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Mar 10, 2006

Last certification

Apr 18, 2016

Ownership / control type

Proprietary

Facility address

25982 Pala, Suite 280
Mission Viejo, CA 92691

Locations

Practitioners 6

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

• Afshin S Gerayli, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Laguna Hills, CA
  • NPI 1205878568
  NPD (past)
• Shahriar Minokadeh, MD

  • Interventional Pain Medicine Physician
  • Mission Viejo, CA
  • NPI 1891843728
  NPD (past)
• Shahryar Mousavi, MD

  • Interventional Pain Medicine Physician
  • Laguna Hills, CA
  • NPI 1023263282
  NPD (past)
• Michael S. Shahbazian, M.D.

  • Interventional Pain Medicine Physician
  • Newport Beach, CA
  • NPI 1417091133
  NPD (past)
• Hannah Chung, M.D.

  • Pain Medicine Physician
  • Chicago, IL
  • NPI 1841556792
  NPD (past)
• Scott Matthew Martin, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Henderson, NV
  • NPI 1386622462
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1164534400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25982 PALA STE 280",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916729",
            "telephone_number": "949-297-3838",
            "fax_number": "949-297-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25982 PALA",
            "address_2": "SUITE#280",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916719",
            "telephone_number": "949-297-3838",
            "fax_number": "949-297-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HILLS SURGICENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "GERAYLI",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-230-5776"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "S051767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "S051767",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Hills Pain Treatment Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mission Hills Pain Treatment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mission Children'S Medical Group, Inc
• Mission Chiropractic
• Mission Endoscopy Center Inc
• Mission Family Practice Inc
• Mission Hills Medical Group, Inc.
• Mission Hospital
• Mission Hospital Regional Medical Center
• Mission Hospital Regional Medical Center
• Mission Hospital Regional Medical Center
• Mission Internal Medical Froup, Inc.

• Ambulatory Surgical Clinic/Center in Mission Viejo, CA
• Providers in Mission Viejo, 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 3, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.