ELITE OUTPATIENT SURGICAL INSTITUTE, INC
NPI 1285365437
Clinic/Center - Ambulatory Surgical in Reseda, CA

NPI Status: Active since June 20, 2022

Contact Information

18909 SHERMAN WAY
SUITE C
RESEDA, CA
ZIP 91335
Phone: (818) 774-1309
Fax: (818) 774-9719

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2279763
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-05-2027

About ELITE OUTPATIENT SURGICAL INSTITUTE, INC

This page provides the complete NPI Profile along with additional information for Elite Outpatient Surgical Institute, Inc, a provider established in Reseda, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1285365437 assigned on June 2022. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's former legal business name is Prime Surgical Center, Inc.. The authorized official of this NPI record is Shawn Rabbani Dpm (Medical Director)

NPI
1285365437
Provider Legal Name
ELITE OUTPATIENT SURGICAL INSTITUTE, INC
Other Organization Name
PRIME SURGICAL CENTER, INC.
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
18909 SHERMAN WAY SUITE C RESEDA, CA 91335
Location Phone
(818) 774-1309
Location Fax
(818) 774-9719
Mailing Address
18909 SHERMAN WAY SUITE C RESEDA, CA 91335
Mailing Phone
(818) 774-1309
Mailing Fax
(818) 774-9719
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2022
Last Update Date
09-26-2022
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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 Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

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

SHAWN RABBANI DPM

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(818) 774-1309

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
05D2279763
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 06, 2025
Certificate Expiration Date
April 05, 2027
Laboratory Director
KOUROSH NOORMAND
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Elite Outpatient Surgical Institute, 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 1285365437, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 8 → 16 → 7 3 → 6 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 6 + 5 + 6 + 6 + 1 + 0 + 4 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1285365437.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Radiologic Technologist (Vascular-Interventional Technology)
18909 SHERMAN WAY, B
RESEDA, CA 91335
Podiatrist (Foot & Ankle Surgery)
18909 SHERMAN WAY, B
RESEDA, CA 91335
Specialist/Technologist Cardiovascular (Vascular Specialist)
18909 SHERMAN WAY, SUITE 100
RESEDA, CA 91335
Durable Medical Equipment & Medical Supplies
18909 SHERMAN WAY, STE D
RESEDA, CA 91335
Clinic/Center (Ambulatory Surgical)
18909 SHERMAN WAY
RESEDA, CA 91335

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285365437, enumerated as an "organization" on June 20, 2022.

The provider is located at 18909 SHERMAN WAY SUITE C RESEDA, CA 91335 and the phone number is (818) 774-1309.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.