SAN DIEGO PREMIER SURGERY CENTER LLC
NPI 1063245785
Clinic/Center - Ambulatory Surgical in San Diego, CA
NPI Status: Active since August 20, 2024
Contact Information
3434 MIDWAY DR STE 1008
SAN DIEGO, CA
ZIP 92110
Phone: (818) 855-1507
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D2314866
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 12-01-2026
About SAN DIEGO PREMIER SURGERY CENTER LLC
This page provides the complete NPI Profile along with additional information for San Diego Premier Surgery Center Llc, a provider established in San Diego, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1063245785 assigned on August 2024. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Timothy Chong Md (Chief Medical Officer)
- NPI
- 1063245785
- Provider Name
- SAN DIEGO PREMIER SURGERY CENTER LLC
- Entity Type
- Organization
- Location Address
- 3434 MIDWAY DR STE 1008 SAN DIEGO, CA 92110
- Location Phone
- (818) 855-1507
- Mailing Address
- 425 15TH ST UNIT 3195 MANHATTAN BEACH, CA 90266
- Mailing Phone
- (818) 855-1507
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-20-2024
- Last Update Date
- 01-15-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2314866
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- December 02, 2024
- Certificate Expiration Date
- December 01, 2026
- Laboratory Director
- TIMOTHY CHONG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to San Diego Premier Surgery Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 2 | 4 | 5 | 7 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 4 | 4 | 10 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 4 + 4 + 1 + 0 + 7 + 1 + 6 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1063245785 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1376840793 | SAN DIEGO ANESTHESIA LLC Organization | Legal Medicine | 3434 MIDWAY DR STE 1008 SAN DIEGO, CA 92110 (310) 273-8885 |
| 1902438112 | SURGERY CENTER OF SAN DIEGO, LLC Organization | Clinic/Center (Ambulatory Surgical) | 3434 MIDWAY DR STE 1008 SAN DIEGO, CA 92110 (858) 432-7899 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063245785, enumerated in the NPI registry as an "organization" on August 20, 2024
The provider is located at 3434 Midway Dr Ste 1008 San Diego, Ca 92110 and the phone number is (818) 855-1507
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider's CLIA number is 05D2314866 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 20, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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