POWAY SURGERY CENTER
NPI 1598949281
Clinic/Center - Ambulatory Surgical in Poway, CA

NPI Status: Active since December 18, 2007

Contact Information

15611 POMERADO RD STE 220
POWAY, CA
ZIP 92064
Phone: (858) 521-0031
Fax: (858) 521-0921

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D1005021
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 10-10-2026

About POWAY SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Poway Surgery Center, a provider established in Poway, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1598949281 assigned on December 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Poway Surgery Center. The authorized official of this NPI record is Mr. Jeffrey Snodgrass (President)

NPI
1598949281
Provider Legal Name
POWAY CA MULTI SPECIALTY ASC LLC
Other Organization Name
POWAY SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15611 POMERADO RD STE 220 POWAY, CA 92064
Location Phone
(858) 521-0031
Location Fax
(858) 521-0921
Mailing Address
1A BURTON HILLS BLVD. LICENSURE AND CERT DEPT NASHVILLE, TN 37215
Mailing Phone
(615) 263-4011
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-18-2007
Last Update Date
01-20-2023
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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

MR. JEFFREY SNODGRASS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(615) 665-1283

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
05D1005021
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
October 11, 2024
Certificate Expiration Date
October 10, 2026
Laboratory Director
BRAD COHEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Poway Surgery Center 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.

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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.
1598949281
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2518818418216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 1 + 8 + 4 + 1 + 8 + 2 + 1 + 6 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1598949281 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 1598949281, enumerated in the NPI registry as an "organization" on December 18, 2007

The provider is located at 15611 Pomerado Rd Ste 220 Poway, Ca 92064 and the phone number is (858) 521-0031

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

The provider's CLIA number is 05D1005021 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 18, 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].
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