SUNSET SURGICAL CENTRE LLC
NPI 1053688036
Clinic/Center - Ambulatory Surgical in Portland, OR

NPI Status: Active since November 19, 2011

Contact Information

9555 SW BARNES RD
SUITE 275
PORTLAND, OR
ZIP 97225
Phone: (503) 297-8555

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 38D2040076
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-22-2028

About SUNSET SURGICAL CENTRE LLC

This page provides the complete NPI Profile along with additional information for Sunset Surgical Centre Llc, a provider established in Portland, Oregon operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1053688036 assigned on November 2011. The practitioner's primary taxonomy code is 261QA1903X with license number 60011591 (OR). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Kim Chi Vu Md (Sole Member)

NPI
1053688036
Provider Name
SUNSET SURGICAL CENTRE LLC
Entity Type
Organization
Location Address
9555 SW BARNES RD SUITE 275 PORTLAND, OR 97225
Location Phone
(503) 297-8555
Mailing Address
15390 NW CORNELL RD BEAVERTON, OR 97006
Mailing Phone
(503) 297-8555
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-19-2011
Last Update Date
11-19-2011
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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.
60011591
License State
OR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Silver 6500 Individual Connect - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. KIM CHI VU MD

Authorized Official Title
SOLE MEMBER
Authorized Official Phone
(509) 297-8555

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
38D2040076
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 23, 2026
Certificate Expiration Date
April 22, 2028
Laboratory Director
DR. KIM CHI VU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sunset Surgical Centre 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 SUNSET SURGICAL CENTRE 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 1053688036, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
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 5 → 10 → 1 6 → 12 → 3 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 1 + 2 + 8 + 1 + 6 + 0 + 6 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1053688036.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
9555 SW BARNES RD, STE 150
PORTLAND, OR 97225
Obstetrics & Gynecology (Gynecologic Oncology)
9555 SW BARNES RD, STE 150
PORTLAND, OR 97225
Internal Medicine (Hematology & Oncology)
9555 SW BARNES RD, STE 150
PORTLAND, OR 97225
Pediatrics
9555 SW BARNES RD, STE 301
PORTLAND, OR 97225
Pediatrics
9555 SW BARNES RD, STE 301
PORTLAND, OR 97225
Pediatrics
9555 SW BARNES RD, STE 301
PORTLAND, OR 97225
Pediatrics
9555 SW BARNES RD, STE 301
PORTLAND, OR 97225
Pediatrics
9555 SW BARNES RD, STE 301
PORTLAND, OR 97225
Pediatrics
9555 SW BARNES RD, STE 301
PORTLAND, OR 97225
Pediatrics
9555 SW BARNES RD, STE 301
PORTLAND, OR 97225
Pediatrics
9555 SW BARNES RD, STE 301
PORTLAND, OR 97225
Pediatrics
9555 SW BARNES RD, STE 301
PORTLAND, OR 97225
Nurse Practitioner
9555 SW BARNES RD, SUITE 100
PORTLAND, OR 97225
Advanced Practice Midwife
9555 SW BARNES RD, SUITE 100
PORTLAND, OR 97225
Obstetrics & Gynecology
9555 SW BARNES RD, SUITE 100
PORTLAND, OR 97225
Eyewear Supplier
9555 SW BARNES RD, SUITE 201
PORTLAND, OR 97225
Advanced Practice Midwife
9555 SW BARNES RD, SUITE 100
PORTLAND, OR 97225
Pediatrics
9555 SW BARNES RD, SUITE 270
PORTLAND, OR 97225
Pediatrics
9555 SW BARNES RD, STE 301
PORTLAND, OR 97225
Pediatrics (Adolescent Medicine)
9555 SW BARNES RD, SUITE 270
PORTLAND, OR 97225

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053688036, enumerated as an "organization" on November 19, 2011.

The provider is located at 9555 SW BARNES RD SUITE 275 PORTLAND, OR 97225 and the phone number is (503) 297-8555.

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

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.