MIRAGE AMBULATORY SURGERY CENTER, INC
NPI 1154644193
Clinic/Center - Oral and Maxillofacial Surgery in Rancho Mirage, CA

NPI Status: Active since March 04, 2010

Contact Information

39935 VISTA DEL SOL
SUITE 102
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 779-9989
Fax: (760) 779-9710

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery

About MIRAGE AMBULATORY SURGERY CENTER, INC

This page provides the complete NPI Profile along with additional information for Mirage Ambulatory Surgery Center, Inc, a provider established in Rancho Mirage, California operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1154644193 assigned on March 2010. The practitioner's primary taxonomy code is 261QS0112X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Stephen L. Kreizenbeck Dds (President)

NPI
1154644193
Provider Name
MIRAGE AMBULATORY SURGERY CENTER, INC
Entity Type
Organization
Location Address
39935 VISTA DEL SOL SUITE 102 RANCHO MIRAGE, CA 92270
Location Phone
(760) 779-9989
Location Fax
(760) 779-9710
Mailing Address
39935 VISTA DEL SOL SUITE 102 RANCHO MIRAGE, CA 92270
Mailing Phone
(760) 779-9989
Mailing Fax
(760) 779-9710
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-04-2010
Last Update Date
03-04-2010
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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

Clinic/Center Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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

STEPHEN L. KREIZENBECK DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(760) 779-9989

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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 1154644193, 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
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 5 → 10 → 1 6 → 12 → 3 4 → 8 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 + 1 + 0 + 4 + 1 + 2 + 4 + 8 + 1 + 1 + 8 + 24 = 57

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.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1154644193.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
39935 VISTA DEL SOL, SUITE 100
RANCHO MIRAGE, CA 92270
Clinic/Center (Oral and Maxillofacial Surgery)
39935 VISTA DEL SOL, SUITE 102
RANCHO MIRAGE, CA 92270
Clinic/Center (Ambulatory Surgical)
39935 VISTA DEL SOL, SUITE 100
RANCHO MIRAGE, CA 92270
Nurse Anesthetist, Certified Registered
39935 VISTA DEL SOL
RANCHO MIRAGE, CA 92270

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154644193, enumerated as an "organization" on March 04, 2010.

The provider is located at 39935 VISTA DEL SOL SUITE 102 RANCHO MIRAGE, CA 92270 and the phone number is (760) 779-9989.

Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.