Canyon Pinole Surgery Center, Lp
NPI 1497791040 · Ambulatory Surgical Clinic/Center · Pinole, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Canyon Pinole Surgery Center, Lp is a Ambulatory Surgical Clinic/Center organization in Pinole, CA (NPI 1497791040).
Provider details
- NPI number
- 1497791040
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Park, Administrator(510) 724-9500
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
670 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Dexamethasone, Lacrimal Ophthalmic Insert, 0.1 MgJ1096 | 228 | $116 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 115 | $1,603 |
| Removal of Recurring Cataract in Lens Capsule Using a Laser66821 | 72 | $422 |
| Removal of Excessive Skin and Fat of Upper Eyelid15823 | 64 | $1,313 |
| Laser Repair to Improve Eye Fluid Flow65855 | 50 | $193 |
| Complex Removal of Cataract With Insertion of Prosthetic Lens66982 | 41 | $1,636 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-21
- Last updated
- 2022-09-08
- Certified
- 2022-09-08
Frequently asked questions
- What is Canyon Pinole Surgery Center, Lp's NPI number?
- Canyon Pinole Surgery Center, Lp's National Provider Identifier (NPI) is 1497791040, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Pinole Surgery Center, Lp?
- Canyon Pinole Surgery Center, Lp is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Canyon Pinole Surgery Center, Lp located?
- Canyon Pinole Surgery Center, Lp's practice location on file with NPPES is 1700 San Pablo Ave, Pinole, CA 94564-2068.
- What is Canyon Pinole Surgery Center, Lp's phone number?
- The practice phone number listed in the NPPES registry for Canyon Pinole Surgery Center, Lp is (510) 724-9500.
- Does Canyon Pinole Surgery Center, Lp accept Medicare?
- Canyon Pinole Surgery Center, Lp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Canyon Pinole Surgery Center, Lp?
- The authorized official listed on Canyon Pinole Surgery Center, Lp's NPPES record is David Park, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Pinole Surgery Center, Lp's NPI active?
- Yes — Canyon Pinole Surgery Center, Lp's NPI (1497791040) is active in the NPPES registry as of the last update on 2022-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.