RENAISSANCE SURGERY CENTER, LLC
NPI 1013068642
Clinic/Center - Ambulatory Surgical in Fresno, CA

NPI Status: Active since January 12, 2007

Contact Information

2365 E FIR AVE
FRESNO, CA
ZIP 93720
Phone: (559) 797-9100
Fax: (559) 797-9103

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D1067396
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-16-2027

About RENAISSANCE SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Renaissance Surgery Center, Llc, a provider established in Fresno, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1013068642 assigned on January 2007. The practitioner's primary taxonomy code is 261QA1903X with license number 550000544 (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Eric Boon (Officer / Authorized Official)

NPI
1013068642
Provider Name
RENAISSANCE SURGERY CENTER, LLC
Entity Type
Organization
Location Address
2365 E FIR AVE FRESNO, CA 93720
Location Phone
(559) 797-9100
Location Fax
(559) 797-9103
Mailing Address
2365 E FIR AVE FRESNO, CA 93720
Mailing Phone
(559) 797-9100
Mailing Fax
(559) 797-9103
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-12-2007
Last Update Date
12-04-2024
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
550000544
License State
CA

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

ERIC BOON

Authorized Official Title
OFFICER / AUTHORIZED OFFICIAL
Authorized Official Phone
(480) 567-0269

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.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 17 times for 11 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This 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 78 times for 45 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This 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 49 times for 24 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 39 times for 30 patients

Injection of substance into middle or upper spine canal using imaging guidance

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

This service was performed 14 times for 14 patients

Injection of upper or middle spine facet joint using imaging guidance, single level

This 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 20 times for 11 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This 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 74 times for 39 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 58 times for 45 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
05D1067396
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 17, 2025
Certificate Expiration Date
April 16, 2027
Laboratory Director
JONATHAN D. GROSSMAN MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Renaissance 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 RENAISSANCE SURGERY CENTER, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013068642, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 0 + 6 + 1 + 6 + 6 + 8 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1013068642.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2365 E FIR AVE
FRESNO, CA 93720
Plastic Surgery
2365 E FIR AVE
FRESNO, CA 93720
Plastic Surgery
2365 E FIR AVE
FRESNO, CA 93720
Surgery
2365 E FIR AVE
FRESNO, CA 93720
Plastic Surgery
2365 E FIR AVE
FRESNO, CA 93720
Plastic Surgery
2365 E FIR AVE
FRESNO, CA 93720
Surgery (Plastic and Reconstructive Surgery)
2365 E FIR AVE
FRESNO, CA 93720
Clinic/Center (Ambulatory Surgical)
2365 E FIR AVE
FRESNO, CA 93720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013068642, enumerated as an "organization" on January 12, 2007.

The provider is located at 2365 E FIR AVE FRESNO, CA 93720 and the phone number is (559) 797-9100.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.