CENTRAL SURGICAL CENTER PC A CALIFORNIA PROFESSIONAL MEDICAL CO
NPI 1699189894
Clinic/Center - Ambulatory Surgical in Glendale, CA

NPI Status: Active since June 16, 2014

Contact Information

503 N CENTRAL AVE
SUITE 201
GLENDALE, CA
ZIP 91203
Phone: (818) 265-9499

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2097792
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 06-23-2027

About CENTRAL SURGICAL CENTER PC A CALIFORNIA PROFESSIONAL MEDICAL CO

This page provides the complete NPI Profile along with additional information for Central Surgical Center Pc A California Professional Medical Co, a provider established in Glendale, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1699189894 assigned on June 2014. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Michael Tahery M.d. (Medical Director)

NPI
1699189894
Provider Name
CENTRAL SURGICAL CENTER PC A CALIFORNIA PROFESSIONAL MEDICAL CO
Entity Type
Organization
Location Address
503 N CENTRAL AVE SUITE 201 GLENDALE, CA 91203
Location Phone
(818) 265-9499
Mailing Address
503 N CENTRAL AVE SUITE 201 GLENDALE, CA 91203
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2014
Last Update Date
06-16-2014
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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

MICHAEL TAHERY M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(818) 265-9499

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
05D2097792
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 24, 2025
Certificate Expiration Date
June 23, 2027
Laboratory Director
MICHAEL TAHERY, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Central Surgical Center Pc A California Professional Medical Co 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.
1699189894
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261892818818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 2 + 8 + 1 + 8 + 8 + 1 + 8 + 24 = 86
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 86 = 44

The NPI number 1699189894 is valid because the calculated check digit 4 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 1699189894, enumerated in the NPI registry as an "organization" on June 16, 2014

The provider is located at 503 N Central Ave Suite 201 Glendale, Ca 91203 and the phone number is (818) 265-9499

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

The provider's CLIA number is 05D2097792 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 June 16, 2014. 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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