Genesis Ambulatory Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GENESIS AMBULATORY SURGERY CENTER INC

Practice address

26781 Portola Pkwy Ste 4E
Foothill Ranch, CA 92610-1758

Phone

(949) 837-3000

Fax

(949) 259-6978

NPI assigned

Feb 9, 2010

Last updated

Sep 8, 2025By 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

Yasser Hilmy Salem, MDNPI 1306927124

Title

Ceo

Phone

(714) 545-5200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1609108083. Details of each certification follow.

• CCN 050817 Hospital · Terminated · Name & address match · Details
• CCN 05C0002083 Ambulatory surgical center · Active · Name & address match · Details

Hospital certification: CCN 050817

Legal name

GENESIS AMBULATORY SURGERY CENTER INC

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Jun 11, 2020

Last certification

Jun 11, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

26781 Portola Pkwy Suite 4
Foothill Ranch, CA 92610

Ambulatory surgical center certification: CCN 05C0002083

Legal name

GENESIS AMBULATORY SURGERY CENTER INC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 3, 2015

Last certification

Sep 13, 2018

Ownership / control type

Proprietary

Facility address

26781 Portola Pkwy Suite 4E
Foothill Ranch, CA 92610

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
  • Santa Ana, CA
  • NPI 1114707601

  6204068703

  Same PAC ID

Listed as

Genesis Ambulatory Surgery Center IncCCN 05C0001432

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

CLIA laboratory certificates

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Genesis Ambulatory Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Santa Ana, CA
  • NPI 1114707601
  NPPES parent name

Practitioners 1

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.

• Yasser Hilmey Salem, MD

  • Surgery Physician
  • Huntington Beach, CA
  • NPI 1306927124
  Authorized official Same address or phone

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1609108083",
    "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": "26781 PORTOLA PKWY STE 4E",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926101758",
            "telephone_number": "949-837-3000",
            "fax_number": "949-259-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS AMBULATORY SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Foothill Ranch, CA
• Providers in Foothill Ranch, 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.