GENESIS AMBULATORY SURGERY CENTER INC
NPI 1114707601
Clinic/Center - Ambulatory Surgical in Santa Ana, CA
NPI Status: Active since October 02, 2023
Contact Information
1401 N TUSTIN AVE STE 105
SANTA ANA, CA
ZIP 92705
Phone: (949) 837-3000
Fax: (949) 259-6978
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D2009246
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-28-2026
About GENESIS AMBULATORY SURGERY CENTER INC
This page provides the complete NPI Profile along with additional information for Genesis Ambulatory Surgery Center Inc, a provider established in Santa Ana, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1114707601 assigned on October 2023. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1114707601
- Provider Legal Name
- GENESIS AMBULATORY SURGERY CENTER INC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1401 N TUSTIN AVE STE 105 SANTA ANA, CA 92705
- Location Phone
- (949) 837-3000
- Location Fax
- (949) 259-6978
- Mailing Address
- PO BOX 2393 ORANGE, CA 92859
- Mailing Phone
- (949) 837-3000
- Mailing Fax
- (949) 259-6978
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-02-2023
- Last Update Date
- 09-08-2025
- 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
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
- 05D2009246
- Facility Type
- Physician Office
- Certificate Effective Date
- June 29, 2024
- Certificate Expiration Date
- June 28, 2026
- Laboratory Director
- YASSER H. SALEM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Genesis Ambulatory Surgery Center Inc 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 1114707601, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
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 49 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114707601, enumerated as an "organization" on October 02, 2023.
The provider is located at 1401 N TUSTIN AVE STE 105 SANTA ANA, CA 92705 and the phone number is (949) 837-3000.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
