LASERVUE EYE CENTER MEDICAL CORPORATION
NPI 1194913103
Clinic/Center - Ophthalmologic Surgery in Santa Rosa, CA

NPI Status: Active since October 04, 2007

Contact Information

3540 MENDOCINO AVE STE 200
SANTA ROSA, CA
ZIP 95403
Phone: (707) 522-6200

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  • Organization
  • Clinic/Center
  • Ophthalmologic Surgery
  • CLIA Number: 05D1070174
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-04-2028

About LASERVUE EYE CENTER MEDICAL CORPORATION

This page provides the complete NPI Profile along with additional information for Laservue Eye Center Medical Corporation, a provider established in Santa Rosa, California operating as a Clinic/center, focusing in ophthalmologic surgery . The healthcare provider is registered in the NPI registry with number 1194913103 assigned on October 2007. The practitioner's primary taxonomy code is 261QS0132X with license number G66178 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Sanjay Bansal M.d. (Owner)

NPI
1194913103
Provider Name
LASERVUE EYE CENTER MEDICAL CORPORATION
Entity Type
Organization
Location Address
3540 MENDOCINO AVE STE 200 SANTA ROSA, CA 95403
Location Phone
(707) 522-6200
Mailing Address
3540 MENDOCINO AVE STE 200 SANTA ROSA, CA 95403
Mailing Phone
(707) 522-6200
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2007
Last Update Date
04-03-2013
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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

Clinic/Center Ophthalmologic Surgery

Taxonomy Code
261QS0132X
Type
Ambulatory Health Care Facilities
License No.
G66178
License State
CA

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

DR. SANJAY BANSAL M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(707) 522-6200

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.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 31 times for 25 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 119 times for 62 patients

Destruction of nerves supplying joint between spine and pelvis using imaging guidance

This procedure involves the use of imaging technology to accurately locate and destroy specific nerves in the joint between your spine and pelvis. The goal is to reduce pain by interrupting the nerve signals responsible for your discomfort.

This service was performed 23 times for 17 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

This service was performed 21 times for 11 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 222 times for 112 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

This service was performed 132 times for 63 patients

Injection of substance into middle or upper spine canal using imaging guidance

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

This service was performed 57 times for 42 patients

Injection of upper or middle spine facet joint using imaging guidance, single level

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

This service was performed 36 times for 17 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

This service was performed 39 times for 27 patients

Insertion of spinal neurostimulator electrode array through skin

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

This service was performed 82 times for 27 patients

Insertion of spinal neurostimulator generator or receiver

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

This service was performed 26 times for 26 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 233 times for 139 patients

Removal of recurring cataract in lens capsule using a laser

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

This service was performed 151 times for 95 patients

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
05D1070174
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 05, 2026
Certificate Expiration Date
April 04, 2028
Laboratory Director
SANJAY BANSAL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Laservue Eye Center Medical Corporation 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 1194913103, 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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
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 9 → 18 → 9 9 → 18 → 9 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 8 + 4 + 1 + 8 + 1 + 6 + 1 + 0 + 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 1194913103.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Ophthalmology
3540 MENDOCINO AVE STE 200
SANTA ROSA, CA 95403
Optometrist
3540 MENDOCINO AVE STE 200
SANTA ROSA, CA 95403
Optometrist
3540 MENDOCINO AVE STE 200
SANTA ROSA, CA 95403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194913103, enumerated as an "organization" on October 04, 2007.

The provider is located at 3540 MENDOCINO AVE STE 200 SANTA ROSA, CA 95403 and the phone number is (707) 522-6200.

Clinic/Center with taxonomy code 261QS0132X and a focus in Ophthalmologic Surgery.