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Pavilion Surgical Services LLC

Pavilion Surgical Services LLC is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Ukiah, CA, holding Type 2 (organization) NPI 1790969301 since 2007. The authorized official on file is Robert Mccarville, Administrator.

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NPI 1790969301
Entity type Organization (Type 2)
Legal business name Pavilion Surgical Services LLC
Practice address 245 HOSPITAL DR., 100, Ukiah, CA, 95482
Phone 7074624905
Enumeration date 2007-12-19
Last updated in NPPES 2009-02-09

Authorized official

Name Robert Mccarville
Title Administrator
Phone 4178892040

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QA1903X Ambulatory Surgical Clinic/Center Primary
Copy-ready billing details
Provider: Pavilion Surgical Services LLC
NPI: 1790969301
Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center)
Address: 245 HOSPITAL DR., 100, Ukiah, CA, 95482

Verify this record

Cross-check NPI 1790969301 against the authoritative CMS record: view Pavilion Surgical Services LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Pavilion Surgical Services LLC?
Pavilion Surgical Services LLC is registered in NPPES as a Ambulatory Surgical Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-02-09.