DAVITA MEDICAL ASC
NPI 1144590332
Clinic/Center - Ambulatory Surgical in Long Beach, CA
NPI Status: Active since January 05, 2012
Contact Information
2600 REDONDO AVE
LONG BEACH, CA
ZIP 90806
Phone: (562) 988-7000
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D2040248
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-31-2026
About DAVITA MEDICAL ASC
This page provides the complete NPI Profile along with additional information for Davita Medical Asc, a provider established in Long Beach, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1144590332 assigned on January 2012. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Davita Medical Asc. The authorized official of this NPI record is John G. Liethen (Secretary)
- NPI
- 1144590332
- Provider Legal Name
- HEALTHCARE PARTNERS ASC-LB, LLC
- Other Organization Name
- DAVITA MEDICAL ASC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2600 REDONDO AVE LONG BEACH, CA 90806
- Location Phone
- (562) 988-7000
- Mailing Address
- P.O. BOX 6400 TORRANCE, CA 90504
- Mailing Phone
- (562) 988-7000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-05-2012
- Last Update Date
- 08-19-2019
- 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
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.
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
Biopsy of large bowel using a flexible endoscope
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
This service was performed 19 times for 19 patientsA biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
This service was performed 29 times for 29 patientsColorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
This service was performed 22 times for 22 patientsThis procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
This service was performed 29 times for 29 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
- 05D2040248
- Facility Type
- Physician Office
- Certificate Effective Date
- May 10, 2022
- Certificate Expiration Date
- May 31, 2026
- Laboratory Director
- JOHN C. HISERODT
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Davita Medical Asc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 1144590332, 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.
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 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LONG BEACH, CA 90806
LONG BEACH, CA 90806
LONG BEACH, CA 90806
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144590332, enumerated as an "organization" on January 05, 2012.
The provider is located at 2600 REDONDO AVE LONG BEACH, CA 90806 and the phone number is (562) 988-7000.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
