Pivac Asc LLC
NPI 1679010417 · Ambulatory Surgical Clinic/Center · Culver City, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pivac Asc LLC is a Ambulatory Surgical Clinic/Center organization in Culver City, CA (NPI 1679010417).
Provider details
- NPI number
- 1679010417
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Spencer Brown, Medical Director(310) 348-9604
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
9 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
886 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) |
|---|---|---|
| Insertion of Needle And/Or Tube Into Hemodialysis Circuit and Balloon Dilation of Dialysis Segment With Review By Radiologist36902 | 456 | $2,900 |
| Dialysis Circuit, Introduction of Needle(s) And/Or Catheter(s), With Diagnostic Angiography of the Dialysis Circuit, Including All Direct Puncture(s) and Catheter Placement(s), Injection(s) of Contrast, All Necessary Imaging From the Arterial Anastomosis aC7513 | 256 | $961 |
| Removal of Tunneled Central Venous Tube36589 | 40 | $374 |
| Insertion of Needle And/Or Tube Into Hemodialysis Circuit and Insertion of Stent in Dialysis Segment With Review By Radiologist36903 | 37 | $7,952 |
| Removal And/Or Dissolving of Blood Clot in Hemodialysis Circuit and Balloon Dilation of Dialysis Segment With Imaging Review By Radiologist, With Balloon Tube36905 | 24 | $7,007 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-01-31
- Last updated
- 2025-03-11
- Certified
- 2025-03-11
Frequently asked questions
- What is Pivac Asc LLC's NPI number?
- Pivac Asc LLC's National Provider Identifier (NPI) is 1679010417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pivac Asc LLC?
- Pivac Asc LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pivac Asc LLC located?
- Pivac Asc LLC's practice location on file with NPPES is 6076 Bristol Pkwy, Culver City, CA 90230-6600.
- What is Pivac Asc LLC's phone number?
- The practice phone number listed in the NPPES registry for Pivac Asc LLC is (310) 348-9604.
- Does Pivac Asc LLC accept Medicare?
- Pivac Asc LLC 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 Pivac Asc LLC?
- The authorized official listed on Pivac Asc LLC's NPPES record is Spencer Brown, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pivac Asc LLC's NPI active?
- Yes — Pivac Asc LLC's NPI (1679010417) is active in the NPPES registry as of the last update on 2025-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.