ST. GEORGE SPINE AND PAIN INSTITUTE
NPI 1104123892
Pain Medicine - Interventional Pain Medicine in Visalia, CA

NPI Status: Active since February 16, 2011

Contact Information

201 E NOBLE AVE
VISALIA, CA
ZIP 93277
Phone: (559) 627-6500
Fax: (559) 627-6501

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine
  • CLIA Number: 05D2164645
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-09-2027

About ST. GEORGE SPINE AND PAIN INSTITUTE

This page provides the complete NPI Profile along with additional information for St. George Spine And Pain Institute, a provider established in Visalia, California operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1104123892 assigned on February 2011. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 11 years ago. St. George Spine And Pain Institute operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as St. George Spine And Pain Institute. The authorized official of this NPI record is Hany M Nasr Md (Owner)

NPI
1104123892
Provider Legal Name
HANY NASR MD INC
Other Organization Name
ST. GEORGE SPINE AND PAIN INSTITUTE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
201 E NOBLE AVE VISALIA, CA 93277
Location Phone
(559) 627-6500
Location Fax
(559) 627-6501
Mailing Address
PO BOX 3500 VISALIA, CA 93278
Mailing Phone
(559) 308-3905
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2011
Last Update Date
01-15-2015
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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

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207LP2900XAllopathic & Osteopathic Physicians

Anesthesiology
Pain Medicine

 
22081P2900XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Pain Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

HANY M NASR MD

Authorized Official Title
OWNER
Authorized Official Phone
(559) 308-3905

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
05D2164645
Facility Type
Physician Office
Certificate Effective Date
April 10, 2025
Certificate Expiration Date
April 09, 2027
Laboratory Director
DR. HANY NASR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. George Spine And Pain Institute 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 1104123892, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
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 0 → 0 1 → 2 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 2 + 2 + 6 + 8 + 1 + 8 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104123892.

Other Providers at the Same Location


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

Physician Assistant
201 E NOBLE AVE
VISALIA, CA 93277
Nurse Practitioner (Adult Health)
201 E NOBLE AVE
VISALIA, CA 93277

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104123892, enumerated as an "organization" on February 16, 2011.

The provider is located at 201 E NOBLE AVE VISALIA, CA 93277 and the phone number is (559) 627-6500.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.