BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION
NPI 1962500454
Clinic/Center - Ambulatory Surgical in Westminster, CA

NPI Status: Active since September 20, 2006

Contact Information

10362 BOLSA AVE STE 100
WESTMINSTER, CA
ZIP 92683
Phone: (714) 775-5690
Fax: (714) 775-7405

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D1006732
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-01-2026

About BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION

This page provides the complete NPI Profile along with additional information for Bolsa Outpatient Surgery Center A Medical Corporation, a provider established in Westminster, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1962500454 assigned on September 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. Co D.l. Pham M.d. (President)

NPI
1962500454
Provider Name
BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION
Entity Type
Organization
Location Address
10362 BOLSA AVE STE 100 WESTMINSTER, CA 92683
Location Phone
(714) 775-5690
Location Fax
(714) 775-7405
Mailing Address
10362 BOLSA AVE STE 100 WESTMINSTER, CA 92683
Mailing Phone
(714) 775-5690
Mailing Fax
(714) 775-7405
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2006
Last Update Date
07-13-2017
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

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. CO D.L. PHAM M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(714) 775-5690

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 39 times for 39 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 18 times for 18 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 17 times for 17 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 92 times for 84 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 13 times for 13 patients

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
05D1006732
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 02, 2024
Certificate Expiration Date
May 01, 2026
Laboratory Director
KYCHUONG VAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bolsa Outpatient Surgery Center A Medical Corporation 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 BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1962500454
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291221000410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 0 + 0 + 0 + 4 + 1 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1962500454 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407235625MS. EMILY DAO NGUYEN MD
Individual
Pediatrics10362 BOLSA AVE STE 100
WESTMINSTER, CA 92683
(714) 531-2091
1669567541 TRUNG HUU LY MD
Individual
Internal Medicine10362 BOLSA AVE STE 100
WESTMINSTER, CA 92683
(714) 531-0230

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962500454, enumerated in the NPI registry as an "organization" on September 20, 2006

The provider is located at 10362 Bolsa Ave Ste 100 Westminster, Ca 92683 and the phone number is (714) 775-5690

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

The most common procedures or services performed by this practitioner are: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, Biopsy of large bowel using a flexible endoscope, Diagnostic exam of large bowel using a flexible endoscope, Removal of cataract with insertion of prosthetic lens and Removal of polyps or growths of large bowel using an endoscope with mechanical snare.

The provider's CLIA number is 05D1006732 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 September 20, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.