GRANITE BAY SURGERY CENTER, LLC
NPI 1245774611
Clinic/Center - Ambulatory Surgical in Roseville, CA
NPI Status: Active since December 05, 2016
Contact Information
8723 SIERRA COLLEGE BLVD #1
ROSEVILLE, CA
ZIP 95661
Phone: (916) 773-5559
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D2149762
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 06-10-2026
About GRANITE BAY SURGERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for Granite Bay Surgery Center, Llc, a provider established in Roseville, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1245774611 assigned on December 2016. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Joseph Rudy Coscia M.d. (Partner)
- NPI
- 1245774611
- Provider Name
- GRANITE BAY SURGERY CENTER, LLC
- Entity Type
- Organization
- Location Address
- 8723 SIERRA COLLEGE BLVD #1 ROSEVILLE, CA 95661
- Location Phone
- (916) 773-5559
- Mailing Address
- 8723 SIERRA COLLEGE BLVD. BUILDING 1. GRANITE BAY, CA 95746
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-05-2016
- Last Update Date
- 08-28-2018
- 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 State
- CA
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
- 05D2149762
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- June 11, 2024
- Certificate Expiration Date
- June 10, 2026
- Laboratory Director
- JOSEPH COSCIA, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Granite Bay 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.
Reviews for GRANITE BAY SURGERY CENTER, LLC
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 | 2 | 4 | 5 | 7 | 7 | 4 | 6 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 14 | 7 | 8 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 4 + 7 + 8 + 6 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1245774611 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245774611, enumerated in the NPI registry as an "organization" on December 05, 2016
The provider is located at 8723 Sierra College Blvd #1 Roseville, Ca 95661 and the phone number is (916) 773-5559
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider's CLIA number is 05D2149762 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 December 05, 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].
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.