CS OTOLARYNGOLOGY
NPI 1104169606
Otolaryngology - Pediatric Otolaryngology in Orange, CA

NPI Status: Active since April 03, 2013

Contact Information

1201 W LA VETA AVE
ORANGE, CA
ZIP 92868
Phone: (714) 633-4020
Fax: (714) 953-5462

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  • Organization
  • Otolaryngology
  • Pediatric Otolaryngology
  • CLIA Number: 05D0918856
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-25-2027

About CS OTOLARYNGOLOGY

This page provides the complete NPI Profile along with additional information for Cs Otolaryngology, a provider established in Orange, California operating as a Otolaryngology, focusing in pediatric otolaryngology . The healthcare provider is registered in the NPI registry with number 1104169606 assigned on April 2013. The practitioner's primary taxonomy code is 207YP0228X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Cs Otolaryngology. The authorized official of this NPI record is Mark Kelly (Director, Cs Business Services)

NPI
1104169606
Provider Legal Name
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Other Organization Name
CS OTOLARYNGOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1201 W LA VETA AVE ORANGE, CA 92868
Location Phone
(714) 633-4020
Location Fax
(714) 953-5462
Mailing Address
1201 W LA VETA AVE ORANGE, CA 92868
Mailing Phone
(714) 633-4020
Mailing Fax
(714) 953-5462
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-03-2013
Last Update Date
10-17-2013
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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

Otolaryngology Pediatric Otolaryngology

Taxonomy Code
207YP0228X
Type
Allopathic & Osteopathic Physicians
License State
CA
Taxonomy Description
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

MARK KELLY

Authorized Official Title
DIRECTOR, CS BUSINESS SERVICES
Authorized Official Phone
(714) 509-7964

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
05D0918856
Facility Type
Hospital
Certificate Effective Date
August 26, 2025
Certificate Expiration Date
August 25, 2027
Laboratory Director
NITA DOSHI
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Cs Otolaryngology in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1104169606, 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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
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 0 → 0 1 → 2 9 → 18 → 9 0 → 0

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 + 6 + 1 + 8 + 6 + 0 + 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 1104169606.

Other Providers at the Same Location


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

Radiology (Diagnostic Radiology)
1201 W LA VETA AVE, STE. 102
ORANGE, CA 92868
Optometrist
1201 W LA VETA AVE, STE 406
ORANGE, CA 92868
Internal Medicine (Gastroenterology)
1201 W LA VETA AVE, SUITE 211
ORANGE, CA 92868
Allergy & Immunology
1201 W LA VETA AVE, STE 501
ORANGE, CA 92868
Nurse Practitioner
1201 W LA VETA AVE, STE 501
ORANGE, CA 92868
Pathology (Anatomic Pathology & Clinical Pathology)
1201 W LA VETA AVE, SUITE 608
ORANGE, CA 92868
Otolaryngology
1201 W LA VETA AVE, SUITE 604
ORANGE, CA 92868
Ophthalmology
1201 W LA VETA AVE, 300
ORANGE, CA 92868
Dentist (General Practice)
1201 W LA VETA AVE, 301
ORANGE, CA 92868
Surgery (Pediatric Surgery)
1201 W LA VETA AVE
ORANGE, CA 92868
Clinical Neuropsychologist
1201 W LA VETA AVE, SUITE 503
ORANGE, CA 92868
Physical Therapy Assistant
1201 W LA VETA AVE
ORANGE, CA 92868
Allergy & Immunology (Allergy)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Endocrinology)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Hematology-Oncology)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Critical Care Medicine)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Rheumatology)
1201 W LA VETA AVE
ORANGE, CA 92868
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Infectious Diseases)
1201 W LA VETA AVE
ORANGE, CA 92868
Pediatrics (Pediatric Pulmonology)
1201 W LA VETA AVE
ORANGE, CA 92868

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104169606, enumerated as an "organization" on April 03, 2013.

The provider is located at 1201 W LA VETA AVE ORANGE, CA 92868 and the phone number is (714) 633-4020.

Otolaryngology with taxonomy code 207YP0228X and a focus in Pediatric Otolaryngology.