PACIFIC SURGERY CENTER OF VTA
NPI 1073693123
Clinic/Center - Ambulatory Surgical in Ventura, CA
NPI Status: Active since October 16, 2006
Contact Information
3805 TELEGRAPH RD
VENTURA, CA
ZIP 93003
Phone: (805) 644-9001
Fax: (805) 654-1103
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D1018686
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 10-28-2027
About PACIFIC SURGERY CENTER OF VTA
This page provides the complete NPI Profile along with additional information for Pacific Surgery Center Of Vta, a provider established in Ventura, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1073693123 assigned on October 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 050000581 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Pacific Surgery Center Of Vta. The authorized official of this NPI record is Mr. Keith Wintermute (Administrator)
- NPI
- 1073693123
- Provider Legal Name
- PCSC 15 INC
- Other Organization Name
- PACIFIC SURGERY CENTER OF VTA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3805 TELEGRAPH RD VENTURA, CA 93003
- Location Phone
- (805) 644-9001
- Location Fax
- (805) 654-1103
- Mailing Address
- 3805 TELEGRAPH RD VENTURA, CA 93003
- Mailing Phone
- (805) 644-9001
- Mailing Fax
- (805) 654-1103
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-16-2006
- Last Update Date
- 04-28-2008
- Code Navigator
Location Map
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.
- 050000581
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZH5616Z | OTHER (01) | CA | BLUE SHIELD PROV. # |
| 005279 | OTHER (01) | CA | BLUE CROSS PROV. # |
| 99204 | OTHER (01) | CA | HEALTH PARTNERS PROV. # |
| S051668 | MEDICARE PIN (08) | CA |
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.
Complex removal of cataract with insertion of prosthetic lens
Correction of toe joint deformity
Dilation of fluid outflow drainage within eye
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye
Incision to improve eye fluid flow
Insertion of eye fluid drainage device
Removal of cataract with insertion of prosthetic lens
Removal of recurring cataract in lens capsule using a laser
Removal of scar tissue in eye (anterior synechiae)
Revision or repair of operative wound of eye
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
This service was performed 14 times for 12 patientsCorrection of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.
This service was performed 19 times for 13 patientsDilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.
This service was performed 39 times for 26 patientsThis is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
This service was performed 39 times for 23 patientsThis procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.
This service was performed 18 times for 13 patientsThe insertion of an eye fluid drainage device is a procedure to manage eye pressure. A small device is placed in the eye to help drain excess fluid, reducing pressure that can damage the optic nerve and lead to vision loss. This procedure is often used for glaucoma treatment.
This service was performed 21 times for 18 patientsThis 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 271 times for 160 patientsThis 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 228 times for 159 patientsAnterior synechiae is a condition where scar tissue forms in the eye, often causing vision issues. Its removal involves a delicate surgical procedure to carefully eliminate the scar tissue, helping to restore normal vision and alleviate discomfort.
This service was performed 25 times for 17 patientsA revision or repair of an operative wound of the eye is a procedure to fix complications from a previous eye surgery. It involves addressing issues like infection, healing problems, or incorrect positioning of surgical materials. The goal is to promote proper healing and restore optimal eye function.
This service was performed 16 times for 13 patientsCLIA 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
- 05D1018686
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- October 29, 2025
- Certificate Expiration Date
- October 28, 2027
- Laboratory Director
- BRYANT J. LUM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pacific Surgery Center Of Vta 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 1073693123, 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
VENTURA, CA 93003
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073693123, enumerated as an "organization" on October 16, 2006.
The provider is located at 3805 TELEGRAPH RD VENTURA, CA 93003 and the phone number is (805) 644-9001.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.