ST. BERNARDINE SURGERY CENTER, INC.
NPI 1366615486
Phlebology in San Bernardino, CA
NPI Status: Active since April 09, 2008
Contact Information
1869 N WATERMAN AVE
SUITE 200
SAN BERNARDINO, CA
ZIP 92404
Phone: (909) 886-6911
- Organization
- Phlebology
- CLIA Number: 05D0575005
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 04-27-2027
About ST. BERNARDINE SURGERY CENTER, INC.
This page provides the complete NPI Profile along with additional information for St. Bernardine Surgery Center, Inc., a provider established in San Bernardino, California operating as a Phlebology. The healthcare provider is registered in the NPI registry with number 1366615486 assigned on April 2008. The practitioner's primary taxonomy code is 202K00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. St. Bernardine Surgery Center, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Pedro Soriano Alupay M.d. (President)
- NPI
- 1366615486
- Provider Name
- ST. BERNARDINE SURGERY CENTER, INC.
- Entity Type
- Organization
- Location Address
- 1869 N WATERMAN AVE SUITE 200 SAN BERNARDINO, CA 92404
- Location Phone
- (909) 886-6911
- Mailing Address
- 1869 N WATERMAN AVE SUITE 200 SAN BERNARDINO, CA 92404
- Mailing Phone
- (909) 886-6911
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-09-2008
- Last Update Date
- 04-09-2008
- 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
Phlebology
- Taxonomy Code
- 202K00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | |
| 2 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 3 | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 4 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 5 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 6 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 207VG0400X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 8 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 9 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 10 | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 05D0575005
- Facility Type
- Hospital
- Certificate Effective Date
- April 28, 2025
- Certificate Expiration Date
- April 27, 2027
- Laboratory Director
- DR. JAMES B. HARRIS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to St. Bernardine Surgery Center, Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1366615486, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366615486, enumerated as an "organization" on April 09, 2008.
The provider is located at 1869 N WATERMAN AVE SUITE 200 SAN BERNARDINO, CA 92404 and the phone number is (909) 886-6911.
Phlebology with taxonomy code 202K00000X.
