CHINO VASCULAR & SURGERY CENTER INC
NPI 1023651445
Clinic/Center - Ambulatory Surgical in Chino, CA

NPI Status: Active since October 18, 2019

Contact Information

11760 CENTRAL AVE STE 204
CHINO, CA
ZIP 91710
Phone: (714) 754-1684
Fax: (714) 966-0417

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2110038
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-07-2026

About CHINO VASCULAR & SURGERY CENTER INC

This page provides the complete NPI Profile along with additional information for Chino Vascular & Surgery Center Inc, a provider established in Chino, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1023651445 assigned on October 2019. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Anil Shah Md (President)

NPI
1023651445
Provider Name
CHINO VASCULAR & SURGERY CENTER INC
Entity Type
Organization
Location Address
11760 CENTRAL AVE STE 204 CHINO, CA 91710
Location Phone
(714) 754-1684
Location Fax
(714) 966-0417
Mailing Address
2621 S BRISTOL ST STE 108 SANTA ANA, CA 92704
Mailing Phone
(714) 754-1684
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2019
Last Update Date
01-15-2020
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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

DR. ANIL SHAH MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(714) 754-1684

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.

Injection of anesthetic agent and/or steroid into arm nerve bundle

This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.

This service was performed 13 times for 13 patients

Percutaneous arteriovenous fistula creation (avf), direct, any site, by tissue approximation using thermal resistance energy, and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization) when performed, and in

Percutaneous arteriovenous fistula (AVF) creation is a procedure to connect an artery and vein, often in the arm, using thermal resistance energy. This creates a high-flow pathway for blood, useful for treatments like dialysis. If necessary, additional procedures like balloon angioplasty may be performed to improve blood flow.

This service was performed 12 times for 12 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
05D2110038
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 08, 2024
Certificate Expiration Date
March 07, 2026
Laboratory Director
ANIL V. SHAH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Chino Vascular & Surgery Center Inc 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.

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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 1023651445, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
5
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 6 → 12 → 3 1 → 2 4 → 8

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 + 2 + 5 + 2 + 4 + 8 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1023651445.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
11760 CENTRAL AVE STE 204
CHINO, CA 91710
Radiology (Vascular & Interventional Radiology)
11760 CENTRAL AVE STE 204
CHINO, CA 91710
Anesthesiology
11760 CENTRAL AVE STE 204
CHINO, CA 91710
Nurse Anesthetist, Certified Registered
11760 CENTRAL AVE STE 204
CHINO, CA 91710
Internal Medicine (Cardiovascular Disease)
11760 CENTRAL AVE STE 204
CHINO, CA 91710

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023651445, enumerated as an "organization" on October 18, 2019.

The provider is located at 11760 CENTRAL AVE STE 204 CHINO, CA 91710 and the phone number is (714) 754-1684.

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