SAN MATEO SURGERY CENTER LLC
NPI 1750553376
Clinic/Center - Ambulatory Surgical in San Mateo, CA
NPI Status: Active since March 25, 2008
Contact Information
66 BOVET RD
SUITE 103
SAN MATEO, CA
ZIP 94402
Phone: (650) 570-0529
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D1090125
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 10-01-2026
About SAN MATEO SURGERY CENTER LLC
This page provides the complete NPI Profile along with additional information for San Mateo Surgery Center Llc, a provider established in San Mateo, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1750553376 assigned on March 2008. 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 Mark Sontag Md (Owner)
- NPI
- 1750553376
- Provider Name
- SAN MATEO SURGERY CENTER LLC
- Entity Type
- Organization
- Location Address
- 66 BOVET RD SUITE 103 SAN MATEO, CA 94402
- Location Phone
- (650) 570-0529
- Mailing Address
- 66 BOVET RD SUITE 103 SAN MATEO, CA 94402
- Mailing Phone
- (650) 570-0529
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-25-2008
- Last Update Date
- 02-10-2015
- 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
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| BO043A | MEDICARE PIN (08) | CA |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
Injection of lower or sacral spine facet joint using imaging guidance, single level
Injection of upper or middle spine facet joint using imaging guidance, single level
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
This service was performed 62 times for 39 patientsThis procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.
This service was performed 24 times for 15 patientsThis procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
This service was performed 142 times for 85 patientsThis procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
This service was performed 86 times for 47 patientsThis procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
This service was performed 28 times for 15 patientsThis procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
This service was performed 34 times for 24 patientsCLIA 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
- 05D1090125
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- October 02, 2024
- Certificate Expiration Date
- October 01, 2026
- Laboratory Director
- MARK SONTAG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to San Mateo 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 SAN MATEO SURGERY CENTER LLC
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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. | |||||||||
| 1 | 7 | 5 | 0 | 5 | 5 | 3 | 3 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 10 | 5 | 6 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 0 + 5 + 6 + 3 + 1 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1750553376 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598848632 | SAN MATEO SURGERY CENTER Organization | Clinic/Center (Ambulatory Surgical) | 66 BOVET RD SUITE 101-103 SAN MATEO, CA 94402 (650) 570-0529 |
| 1619027273 | DR. ROBERT DAVID RIDEAU DDS Individual | Dentist (General Practice) | 66 BOVET RD SUITE 105 SAN MATEO, CA 94402 (650) 627-8191 |
| 1215073572 | JOANNE FRANCES JACOBSON MD Individual | Anesthesiology | 66 BOVET RD STE 103 SAN MATEO, CA 94402 (650) 570-0500 |
| 1992822522 | DR. ROBERT BRINK M.D. Individual | Medical Genetics, Ph.D. Medical Genetics | 66 BOVET RD SUTIE 103 SAN MATEO, CA 94402 (650) 570-0529 |
| 1407129851 | BAY AREA REPRODUCTIVE HEALTHCARE PC Organization | Specialist | 66 BOVET RD SUITE 101 SAN MATEO, CA 94402 (650) 570-6066 |
| 1881036606 | THREE ANGELS ANESTHESIA NURSING SERVICES INC. Organization | Nurse Anesthetist, Certified Registered | 66 BOVET RD SAN MATEO, CA 94402 (650) 570-6066 |
| 1124230073 | JOEL B. BECK, M.D., INC. Organization | Surgery (Plastic and Reconstructive Surgery) | 66 BOVET RD STE 101 SAN MATEO, CA 94402 (650) 570-6066 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750553376, enumerated in the NPI registry as an "organization" on March 25, 2008
The provider is located at 66 Bovet Rd Suite 103 San Mateo, Ca 94402 and the phone number is (650) 570-0529
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint, Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint, Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level, Injection of lower or sacral spine facet joint using imaging guidance, single level, Injection of upper or middle spine facet joint using imaging guidance, single level and Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography.
The provider's CLIA number is 05D1090125 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 25, 2008. 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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