SEBASTOPOL ASC, L.P.
NPI 1154440972
Clinic/Center - Ambulatory Surgical in Sebastopol, CA
NPI Status: Active since March 29, 2007
Contact Information
6880 PALM AVE
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 823-7628
Fax: (707) 823-1521
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D0895558
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 12-11-2026
About SEBASTOPOL ASC, L.P.
This page provides the complete NPI Profile along with additional information for Sebastopol Asc, L.p., a provider established in Sebastopol, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1154440972 assigned on March 2007. The practitioner's primary taxonomy code is 261QA1903X with license number 010000189 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Eric J Kahle M.d. (Corporate Officer)
- NPI
- 1154440972
- Provider Name
- SEBASTOPOL ASC, L.P.
- Entity Type
- Organization
- Location Address
- 6880 PALM AVE SEBASTOPOL, CA 95472
- Location Phone
- (707) 823-7628
- Location Fax
- (707) 823-1521
- Mailing Address
- 6880 PALM AVE SEBASTOPOL, CA 95472
- Mailing Phone
- (707) 823-7628
- Mailing Fax
- (707) 823-1521
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-29-2007
- Last Update Date
- 01-27-2012
- 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
- License No.
- 010000189
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1154440972 | OTHER (01) | MEDICARE NPI | |
| ZZZH4909Z | OTHER (01) | CA | BLUE SHIELD |
| 490002015 | OTHER (01) | CA | MEDICARE RET RAILROAD |
| ZZZ43102Z | MEDICARE PIN (08) | ||
| 551098 | OTHER (01) | CA | BLUE CROSS |
| SUR51098F | MEDICAID (05) | CA |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Laser repair to improve eye fluid flow
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml
Removal of cataract with insertion of prosthetic lens
Removal of excessive skin of upper eyelid
Removal of recurring cataract in lens capsule using a laser
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
This service was performed 15 times for 15 patientsThis solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
This service was performed 1,162 times for 184 patientsThis is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
This service was performed 305 times for 184 patientsThis procedure, known as an upper eyelid lift or blepharoplasty, involves removing excess skin from the upper eyelid. It's performed to improve vision or enhance appearance. A small incision is made in the eyelid crease, excess skin is removed, and the incision is closed.
This service was performed 26 times for 13 patientsThis procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
This service was performed 101 times for 80 patientsCLIA 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
- 05D0895558
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- December 12, 2024
- Certificate Expiration Date
- December 11, 2026
- Laboratory Director
- TAMARA C. SUSLOV MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sebastopol Asc, L.p. 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.
Reviews for SEBASTOPOL ASC, L.P.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 5 | 4 | 4 | 4 | 0 | 9 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 8 | 4 | 0 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 8 + 4 + 0 + 9 + 1 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1154440972 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689671976 | KARIN N BOEHM O.D. Individual | Optometrist | 6880 PALM AVE SEBASTOPOL, CA 95472 (707) 823-7628 |
| 1326149360 | DR. GREGORY ALLEN PERRONE O.D. Individual | Optometrist | 6880 PALM AVE SEBASTOPOL, CA 95472 (707) 823-7628 |
| 1073663696 | DR. MARY LECHNER O.D. Individual | Optometrist | 6880 PALM AVE SEBASTOPOL, CA 95472 (707) 994-8644 |
| 1619012119 | EYE ASSOCIATES OF SEBASTOPOL MEDICAL GROUP Organization | Eyewear Supplier | 6880 PALM AVE SEBASTOPOL, CA 95472 (707) 823-7628 |
| 1578541900 | DR. ERIC J KAHLE M.D. Individual | Ophthalmology | 6880 PALM AVE SEBASTOPOL, CA 95472 (707) 823-7625 |
| 1619132537 | OREOLUWA I OGUNYEMI M.D. Individual | Urology | 6880 PALM AVE SEBASTOPOL, CA 95472 (707) 823-7628 |
| 1255347035 | DR. KENNETH ECONOMY MD Individual | Anesthesiology | 6880 PALM AVE SEBASTOPOL, CA 95472 (707) 823-7628 |
| 1295729382 | EYE ASSOCIATES OF SEBASTOPOL MEDICAL GROUP INC Organization | Ophthalmology | 6880 PALM AVE SEBASTOPOL, CA 95472 (707) 823-7628 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154440972, enumerated in the NPI registry as an "organization" on March 29, 2007
The provider is located at 6880 Palm Ave Sebastopol, Ca 95472 and the phone number is (707) 823-7628
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Laser repair to improve eye fluid flow, Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml, Removal of cataract with insertion of prosthetic lens, Removal of excessive skin of upper eyelid and Removal of recurring cataract in lens capsule using a laser.
The provider's CLIA number is 05D0895558 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 March 29, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.