San Mateo Surgery Center LLC
NPI 1750553376 · Ambulatory Surgical Clinic/Center · San Mateo, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
San Mateo Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in San Mateo, CA (NPI 1750553376).
Provider details
- NPI number
- 1750553376
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Sontag, Owner(650) 570-0529
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
18 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
323 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) |
|---|---|---|
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 146 | $567 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 76 | $529 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 60 | $1,229 |
| Injection of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Level64490 | 24 | $591 |
| Destruction of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64633 | 17 | $1,244 |
Typical Medicare-allowed amounts for these services range $529–$1,244 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-03-25
- Last updated
- 2015-02-10
Frequently asked questions
- What is San Mateo Surgery Center LLC's NPI number?
- San Mateo Surgery Center LLC's National Provider Identifier (NPI) is 1750553376, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Mateo Surgery Center LLC?
- San Mateo Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is San Mateo Surgery Center LLC located?
- San Mateo Surgery Center LLC's practice location on file with NPPES is 66 Bovet Rd, San Mateo, CA 94402-3125.
- What is San Mateo Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for San Mateo Surgery Center LLC is (650) 570-0529.
- Does San Mateo Surgery Center LLC accept Medicare?
- San Mateo Surgery Center 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 San Mateo Surgery Center LLC?
- The authorized official listed on San Mateo Surgery Center LLC's NPPES record is Mark Sontag, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Mateo Surgery Center LLC's NPI active?
- Yes — San Mateo Surgery Center LLC's NPI (1750553376) is active in the NPPES registry as of the last update on 2015-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.