SURGICALLIANCE LLC
NPI 1700644424
Anesthesiology - Pain Medicine in Honolulu, HI

NPI Status: Active since March 07, 2024

Contact Information

1401 S BERETANIA ST STE 890
HONOLULU, HI
ZIP 96814
Phone: (808) 206-5301

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  • Organization
  • Anesthesiology
  • Pain Medicine
  • CLIA Number: 12D1030908
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 09-19-2026

About SURGICALLIANCE LLC

This page provides the complete NPI Profile along with additional information for Surgicalliance Llc, a provider established in Honolulu, Hawaii operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1700644424 assigned on March 2024. The practitioner's primary taxonomy code is 207LP2900X. The provider is registered as an organization and their NPI record was last updated one year ago. Surgicalliance Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Dr. Jerald Garcia Md (President)

NPI
1700644424
Provider Legal Name
SURGICALLIANCE LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1401 S BERETANIA ST STE 890 HONOLULU, HI 96814
Location Phone
(808) 206-5301
Mailing Address
7192 KALANIANAOLE HWY A143A-144 HONOLULU, HI 96825
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2024
Last Update Date
01-27-2025
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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

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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. JERALD GARCIA MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(808) 206-5301

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
12D1030908
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
September 20, 2024
Certificate Expiration Date
September 19, 2026
Laboratory Director
TYRIE JENKINS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Surgicalliance 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.

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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.
1700644424
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2700124844
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 2 + 4 + 8 + 4 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1700644424 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 1700644424, enumerated in the NPI registry as an "organization" on March 07, 2024

The provider is located at 1401 S Beretania St Ste 890 Honolulu, Hi 96814 and the phone number is (808) 206-5301

This medical organization specializes in Anesthesiology with taxonomy code 207LP2900X with a focus in Pain Medicine

The provider's CLIA number is 12D1030908 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 March 07, 2024. 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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