GOLDEN STATE DERMATOLOGY ASSOCIATES, INC.
NPI 1235738576
Clinic/Center - Ambulatory Surgical in Fresno, CA
NPI Status: Active since October 19, 2020
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D0912897
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-30-2025
About GOLDEN STATE DERMATOLOGY ASSOCIATES, INC.
This page provides the complete NPI Profile along with additional information for Golden State Dermatology Associates, Inc., a provider established in Fresno, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1235738576 assigned on October 2020. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jeffrey Thomas Bortz (Authorized Official)
- NPI
- 1235738576
- Provider Name
- GOLDEN STATE DERMATOLOGY ASSOCIATES, INC.
- Entity Type
- Organization
- Location Address
- 6769 N FRESNO ST FRESNO, CA 93710
- Location Phone
- (559) 435-0337
- Mailing Address
- 355 LENNON LN STE 255 WALNUT CREEK, CA 94598
- Mailing Phone
- (925) 932-7704
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-19-2020
- Last Update Date
- 10-19-2020
- 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
- 05D0912897
- Facility Type
- Physician Office
- Certificate Effective Date
- June 26, 2022
- Certificate Expiration Date
- June 30, 2025
- Laboratory Director
- JANE KARDASHIAN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Golden State Dermatology Associates, Inc. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 | 2 | 3 | 5 | 7 | 3 | 8 | 5 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 14 | 3 | 16 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 4 + 3 + 1 + 6 + 5 + 1 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1235738576 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346373271 | ADVANCED DERMATOLOGY SURGERY CENTER, INC Organization | Clinic/Center (Ambulatory Surgical) | 6769 N FRESNO ST FRESNO, CA 93710 (559) 435-0337 |
| 1104013002 | ALI REZAPOUR, M.D., INC. Organization | Specialist | 6769 N FRESNO ST SUITE # 204 FRESNO, CA 93710 (559) 353-9353 |
| 1982998415 | MRS. FRANCISCA EZEGALU OLALEMI N.P Individual | Nurse Practitioner (Family) | 6769 N FRESNO ST SUITE #201 FRESNO, CA 93710 (559) 440-1500 |
| 1417014036 | DR. JANE F. KARDASHIAN M.D. Individual | Dermatology | 6769 N FRESNO ST FRESNO, CA 93710 (559) 435-0337 |
| 1679587141 | DR. CHARLES ROY PHILLIPS MD Individual | Emergency Medicine | 6769 N FRESNO ST #210 FRESNO, CA 93710 (559) 440-1500 |
| 1356490288 | JANE F. KARDASHIAN, M.D., INC. Organization | Clinic/Center (Ambulatory Surgical) | 6769 N FRESNO ST FRESNO, CA 93710 (559) 435-0337 |
| 1811780083 | MRS. JANET MELIKYAN FNP-C Individual | Nurse Practitioner (Family) | 6769 N FRESNO ST FRESNO, CA 93710 (559) 435-0337 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235738576, enumerated in the NPI registry as an "organization" on October 19, 2020
The provider is located at 6769 N Fresno St Fresno, Ca 93710 and the phone number is (559) 435-0337
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider's CLIA number is 05D0912897 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on October 19, 2020. 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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