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

Get Directions Reviews

  • 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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSEPH RUDY COSCIA M.D.

Authorized Official Title
PARTNER
Authorized Official Phone
(916) 929-1833

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.
1245774611
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285147862
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 = 11

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.