BERKELEY SURGERY CENTER
NPI 1043060403
Clinic/Center - Ambulatory Surgical in Berkeley, CA

NPI Status: Active since March 26, 2024

Contact Information

3100 SAN PABLO AVE STE 180B
BERKELEY, CA
ZIP 94702
Phone: (530) 848-3566

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2316129
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 12-26-2026

About BERKELEY SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Berkeley Surgery Center, a provider established in Berkeley, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1043060403 assigned on March 2024. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Berkeley Surgery Center. The authorized official of this NPI record is Ms. Kelly Mather (Chief Executive Officer)

NPI
1043060403
Provider Legal Name
BAYHEALTH BERKELEY SURGERY CENTER, LLC
Other Organization Name
BERKELEY SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3100 SAN PABLO AVE STE 180B BERKELEY, CA 94702
Location Phone
(530) 848-3566
Mailing Address
3100 SAN PABLO AVE STE 180B BERKELEY, CA 94702
Mailing Phone
(707) 349-4012
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2024
Last Update Date
06-12-2024
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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

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

MS. KELLY MATHER

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(707) 349-4012

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
05D2316129
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
December 27, 2024
Certificate Expiration Date
December 26, 2026
Laboratory Director
ALEKSANDRAS CIZAS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Berkeley 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 1043060403, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

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
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
3
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 4 → 8 0 → 0 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 8 + 3 + 0 + 6 + 0 + 4 + 0 + 24 = 47

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

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1043060403.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043060403, enumerated as an "organization" on March 26, 2024.

The provider is located at 3100 SAN PABLO AVE STE 180B BERKELEY, CA 94702 and the phone number is (530) 848-3566.

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