SUTTER AMADOR SURGERY CENTER
NPI 1033453311
Clinic/Center - Ambulatory Surgical in Jackson, CA

NPI Status: Active since November 26, 2012

Contact Information

223 CLINTON RD
STE 204
JACKSON, CA
ZIP 95642
Phone: (209) 223-5938
Fax: (209) 257-1599

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D1036653
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 02-06-2027

About SUTTER AMADOR SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Sutter Amador Surgery Center, a provider established in Jackson, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1033453311 assigned on November 2012. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Sutter Amador Surgery Center. The authorized official of this NPI record is Mr. William D. Davis (Board Chairman)

NPI
1033453311
Provider Legal Name
SUTTER AMADOR SURGERY CENTER LLC
Other Organization Name
SUTTER AMADOR SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
223 CLINTON RD STE 204 JACKSON, CA 95642
Location Phone
(209) 223-5938
Location Fax
(209) 257-1599
Mailing Address
223 CLINTON RD STE 204 JACKSON, CA 95642
Mailing Phone
(209) 223-5938
Mailing Fax
(209) 257-1599
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-26-2012
Last Update Date
11-26-2012
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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

MR. WILLIAM D. DAVIS

Authorized Official Title
BOARD CHAIRMAN
Authorized Official Phone
(916) 286-8202

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.

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 12 times for 12 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 56 times for 15 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 322 times for 198 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 59 times for 37 patients

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml

This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.

This service was performed 1,548 times for 232 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 383 times for 230 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 57 times for 57 patients

Removal of recurring cataract in lens capsule using a laser

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

This service was performed 70 times for 52 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
05D1036653
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
February 07, 2025
Certificate Expiration Date
February 06, 2027
Laboratory Director
ROBERT M. JARKA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sutter Amador Surgery Center 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 1033453311, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 6 + 3 + 8 + 5 + 6 + 3 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1033453311.

Other Providers at the Same Location


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

Anesthesiology
223 CLINTON RD, STE 204
JACKSON, CA 95642
Anesthesiology
223 CLINTON RD, SUITE 204
JACKSON, CA 95642

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033453311, enumerated as an "organization" on November 26, 2012.

The provider is located at 223 CLINTON RD STE 204 JACKSON, CA 95642 and the phone number is (209) 223-5938.

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