PRISM
NPI 1568837060
Clinic/Center - Ambulatory Surgical in San Jose, CA

NPI Status: Active since December 09, 2015

Contact Information

6080 HELLYER AVE
SUITE 100
SAN JOSE, CA
ZIP 95138
Phone: (408) 440-0930
Fax: (408) 440-0389

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About PRISM

This page provides the complete NPI Profile along with additional information for Prism, a provider established in San Jose, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1568837060 assigned on December 2015. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Brice William Blatz M.d. (Chief Executive)

NPI
1568837060
Provider Name
PRISM
Entity Type
Organization
Location Address
6080 HELLYER AVE SUITE 100 SAN JOSE, CA 95138
Location Phone
(408) 440-0930
Location Fax
(408) 440-0389
Mailing Address
6080 HELLYER AVE SUITE 100 SAN JOSE, CA 95138
Mailing Phone
(408) 440-0930
Mailing Fax
(408) 440-0389
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-09-2015
Last Update Date
12-09-2015
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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

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

DR. BRICE WILLIAM BLATZ M.D.

Authorized Official Title
CHIEF EXECUTIVE
Authorized Official Phone
(408) 440-0930

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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.
1568837060
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512816314012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 6 + 3 + 1 + 4 + 0 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1568837060 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952857823PACIFIC REGENERATIVE AND INTERVENTIONAL SPORTS MEDICINE
Organization
Clinic/Center (Medical Specialty)6080 HELLYER AVE SUITE 100
SAN JOSE, CA 95138
(408) 440-0930
1851709984REVEAL DIAGNOSTICS, LLC
Organization
Clinic/Center (Dental)6080 HELLYER AVE SUITE 175
SAN JOSE, CA 95138
(888) 973-8325

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568837060, enumerated in the NPI registry as an "organization" on December 09, 2015

The provider is located at 6080 Hellyer Ave Suite 100 San Jose, Ca 95138 and the phone number is (408) 440-0930

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

This NPI record was last updated on December 09, 2015. 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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