GOLDEN STATE ORTHOPEDICS & SPINE
NPI 1760135107
Orthopaedic Surgery in Capitola, CA
NPI Status: Active since January 26, 2022
Contact Information
4140 JADE ST STE 100
CAPITOLA, CA
ZIP 95010
Phone: (831) 475-4024
- Organization
- Orthopaedic Surgery
- CLIA Number: 05D2167095
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 09-05-2025
About GOLDEN STATE ORTHOPEDICS & SPINE
This page provides the complete NPI Profile along with additional information for Golden State Orthopedics & Spine, a provider established in Capitola, California operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1760135107 assigned on January 2022. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Golden State Orthopedics & Spine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Stephen Hammarstrom (Ceo)
- NPI
- 1760135107
- Provider Name
- GOLDEN STATE ORTHOPEDICS & SPINE
- Entity Type
- Organization
- Location Address
- 4140 JADE ST STE 100 CAPITOLA, CA 95010
- Location Phone
- (831) 475-4024
- Mailing Address
- PO BOX 31396 WALNUT CREEK, CA 94598
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-26-2022
- Last Update Date
- 06-13-2024
- 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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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.
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
- 05D2167095
- Facility Type
- Independent
- Certificate Effective Date
- September 06, 2023
- Certificate Expiration Date
- September 05, 2025
- Laboratory Director
- DR. EMILY A. GREEN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Golden State Orthopedics & Spine on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 | 6 | 0 | 1 | 3 | 5 | 1 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 2 | 3 | 10 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 2 + 3 + 1 + 0 + 1 + 0 + 24 = 43 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 43 = 7 | 7 | ||||||||
The NPI number 1760135107 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942469952 | DR. CHRISTIAN S HEYWOOD M.D. Individual | Specialist | 4140 JADE ST STE 100 CAPITOLA, CA 95010 (831) 475-4024 |
| 1538556576 | KENNETH MENSCH MD Individual | Orthopaedic Surgery (Hand Surgery) | 4140 JADE ST STE 100 CAPITOLA, CA 95010 (831) 475-4024 |
| 1487388336 | KYLIE NICOLE DENTON FNP Individual | Nurse Practitioner (Family) | 4140 JADE ST STE 100 CAPITOLA, CA 95010 (831) 475-4024 |
| 1922689587 | LINDSAY JACQUELINE PARKER Individual | Physician Assistant (Surgical) | 4140 JADE ST STE 100 CAPITOLA, CA 95010 (831) 475-4024 |
| 1235817651 | EKATERINA GURZHI PA-C Individual | Physician Assistant | 4140 JADE ST STE 100 CAPITOLA, CA 95010 (831) 475-4024 |
| 1548273758 | NICHOLAS ABIDI MD Individual | Orthopaedic Surgery (Foot and Ankle Surgery) | 4140 JADE ST STE 100 CAPITOLA, CA 95010 (831) 475-4024 |
| 1033751912 | SAMANTHA N LEE PA-C Individual | Physician Assistant | 4140 JADE ST STE 100 CAPITOLA, CA 95010 (831) 475-4024 |
| 1265583587 | MICHAEL SALVATORE NUZZO MD Individual | Orthopaedic Surgery | 4140 JADE ST STE 100 CAPITOLA, CA 95010 (831) 475-4024 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760135107, enumerated in the NPI registry as an "organization" on January 26, 2022
The provider is located at 4140 Jade St Ste 100 Capitola, Ca 95010 and the phone number is (831) 475-4024
This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X
The provider's CLIA number is 05D2167095 for a "independent" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 26, 2022. 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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