PLACENTIA SURGICAL
NPI 1023504206
Clinic/Center - Ambulatory Surgical in Placentia, CA

NPI Status: Active since July 10, 2018

Contact Information

1041 E YORBA LINDA BLVD STE 200A
PLACENTIA, CA
ZIP 92870
Phone: (714) 223-9000
Fax: (714) 223-9002

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D1054521
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About PLACENTIA SURGICAL

This page provides the complete NPI Profile along with additional information for Placentia Surgical, a provider established in Placentia, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1023504206 assigned on July 2018. 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 Mrs. Denise Balkcom (Administrator)

NPI
1023504206
Provider Name
PLACENTIA SURGICAL
Entity Type
Organization
Location Address
1041 E YORBA LINDA BLVD STE 200A PLACENTIA, CA 92870
Location Phone
(714) 223-9000
Location Fax
(714) 223-9002
Mailing Address
1041 E YORBA LINDA BLVD STE 200A PLACENTIA, CA 92870
Mailing Phone
(714) 223-9000
Mailing Fax
(714) 223-9002
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2018
Last Update Date
07-10-2018
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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

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

MRS. DENISE BALKCOM

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(888) 268-8607

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
05D1054521
Facility Type
Community Clinic
Certificate Effective Date
May 24, 2006
Certificate Expiration Date
May 22, 2026
Laboratory Director
YI OUYANG
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Placentia Surgical 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 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 1023504206, we treat the final digit (6) 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

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
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
6
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 2 → 4 5 → 10 → 1 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 4 + 3 + 1 + 0 + 0 + 8 + 2 + 0 + 24 = 44

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

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1023504206.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
1041 E YORBA LINDA BLVD STE 200A
PLACENTIA, CA 92870

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023504206, enumerated as an "organization" on July 10, 2018.

The provider is located at 1041 E YORBA LINDA BLVD STE 200A PLACENTIA, CA 92870 and the phone number is (714) 223-9000.

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