CARLSBAD SURGERY CENTER, LLC NPI 1003017351

Clinic/Center - Ambulatory Surgical in Carlsbad, CA

Organization Clinic/Center Ambulatory Surgical CLIA Number 05D1075858 CLIA Certificate of Waiver

About CARLSBAD SURGERY CENTER, LLC

Carlsbad Surgery Center, Llc is a provider established in Carlsbad, California specializing in Clinic/center with a focus in ambulatory surgical . The NPI number of Carlsbad Surgery Center, Llc is 1003017351 and was assigned on May 2007. 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 Mr. Scott Harold Leggett (Ceo/managing Partner)

The CLIA number of Carlsbad Surgery Center, Llc is 05D1075858 registered as a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Carlsbad 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.

NPI

1003017351

Provider NameCARLSBAD SURGERY CENTER, LLC
Provider Location Address6121 PASEO DEL NORTE SUITE 100 CARLSBAD, CA 92011
Provider Mailing Address6121 PASEO DEL NORTE SUITE 100 CARLSBAD, CA 92011
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-31-2007
Last Update Date07-07-2014


Primary Taxonomy

Taxonomy Code261QA1903X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAmbulatory Surgical

Business Address

CARLSBAD SURGERY CENTER, LLC
6121 PASEO DEL NORTE
SUITE 100
CARLSBAD, CA
ZIP 92011
Phone: (760) 448-2488
Fax: (760) 448-2478

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Mailing Address

CARLSBAD SURGERY CENTER, LLC
6121 PASEO DEL NORTE
SUITE 100
CARLSBAD, CA
ZIP 92011
Phone: (760) 448-2488
Fax: (760) 448-2478


Authorized Official

Authorized Official NameMR. SCOTT HAROLD LEGGETT
Authorized Official TitleCEO/MANAGING PARTNER
Authorized Official Phone(760) 602-7872

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 the NPI number 1003017351 is:

CLIA Number05D1075858
Facility TypeAMBULATORY SURGERY CENTER
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
05-C0001873MEDICARE PIN (08)CA

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.
1003017351
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030114310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 4 + 3 + 1 + 0 + 24 = 39
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 39 = 11

The NPI number 1003017351 is valid because the calculated check digit 1 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
1770542367TRI CITY ORTHOPAEDIC SURGERY MEDICAL GROUP INC
Organization
Orthopaedic Surgery6121 PASEO DEL NORTE SUITE 200
CARLSBAD, CA 92011
(760) 724-9000
1023474087PIERRE R LOTZOF M D INC
Organization
Anesthesiology6121 PASEO DEL NORTE SUITE 100
CARLSBAD, CA 92011
(760) 448-2488

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Carlsbad Surgery Center, Llc is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.