SIERRA PACIFIC ORTHOPAEDIC CENTER
NPI 1134583578
Physical Therapist - Orthopedic in Fresno, CA
NPI Status: Active since April 12, 2016
Contact Information
1630 E HERNDON AVE
FRESNO, CA
ZIP 93720
Phone: (559) 256-5200
- Organization
- Physical Therapist
- Orthopedic
- CLIA Number: 05D1003000
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-19-2026
About SIERRA PACIFIC ORTHOPAEDIC CENTER
This page provides the complete NPI Profile along with additional information for Sierra Pacific Orthopaedic Center, a provider established in Fresno, California operating as a Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1134583578 assigned on April 2016. The practitioner's primary taxonomy code is 2251X0800X with license number PT291124 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. Sierra Pacific Orthopaedic Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Lyndsi Hanson (Hr Specialist)
- NPI
- 1134583578
- Provider Name
- SIERRA PACIFIC ORTHOPAEDIC CENTER
- Entity Type
- Organization
- Location Address
- 1630 E HERNDON AVE FRESNO, CA 93720
- Location Phone
- (559) 256-5200
- Mailing Address
- 1630 E HERNDON AVE FRESNO, CA 93720
- Mailing Phone
- (559) 256-5200
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-12-2016
- Last Update Date
- 04-12-2016
- 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
Physical Therapist Orthopedic
- Taxonomy Code
- 2251X0800X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- PT291124
- License State
- CA
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 05D1003000
- Facility Type
- Physician Office
- Certificate Effective Date
- August 20, 2024
- Certificate Expiration Date
- August 19, 2026
- Laboratory Director
- DR. RODNEY S. KRAFT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sierra Pacific Orthopaedic Center 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 | 1 | 3 | 4 | 5 | 8 | 3 | 5 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 10 | 8 | 6 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 1 + 0 + 8 + 6 + 5 + 1 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1134583578 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063403442 | JEROME R DUNKLIN M.D. Individual | Orthopaedic Surgery | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1649253824 | JULIE DUQUETTE PA Individual | Physician Assistant | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1124001318 | FRANCIS GLASER MD Individual | Orthopaedic Surgery (Foot and Ankle Surgery) | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1932182193 | TODD BRANER Individual | Physician Assistant | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1891778775 | MICHELE SCHULZ MD Individual | Orthopaedic Surgery | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1780667667 | JERRY SMITH MD Individual | Physical Medicine & Rehabilitation | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1760465686 | JERYL WIENS MD Individual | Physical Medicine & Rehabilitation | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1487637468 | GREG MELLOR PA Individual | Physician Assistant | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1730162611 | HARDIP RAHAL PA Individual | Physician Assistant | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1265415046 | JOANN GARCIA NP Individual | Nurse Practitioner | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1013990811 | ERIC HANSON MD Individual | Orthopaedic Surgery | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1760465496 | STEVEN THAXTER MD Individual | Orthopaedic Surgery | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1487637104 | DAVID TAYLOR MD Individual | Orthopaedic Surgery | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1225011968 | THOMAS THOMAS MD Individual | Orthopaedic Surgery | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1649253295 | TIMOTHY WATSON MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1942284096 | CARY TANNER MD Individual | Orthopaedic Surgery (Hand Surgery) | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1033183140 | PARAMJEET GILL M.D. Individual | Orthopaedic Surgery | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1598879694 | MR. ALEXANDER L MAJORS M.D. Individual | Surgery (Surgery of the Hand) | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1518066489 | MR. RICHARD ANTHONY LEMBO ATC PTA Individual | Physical Therapy Assistant | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1275625725 | ERIC J LITTLE Individual | Physical Therapist | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134583578, enumerated in the NPI registry as an "organization" on April 12, 2016
The provider is located at 1630 E Herndon Ave Fresno, Ca 93720 and the phone number is (559) 256-5200
This medical organization specializes in Physical Therapist with taxonomy code 2251X0800X with a focus in Orthopedic
The provider's CLIA number is 05D1003000 for a "physician office" 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 April 12, 2016. 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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