OTAY LAKES SURGERY CENTER, LLC
NPI 1376595421
Clinic/Center - Ambulatory Surgical in Chula Vista, CA

NPI Status: Active since May 17, 2006

Contact Information

955 LANE AVE
SUITE 100
CHULA VISTA, CA
ZIP 91914
Phone: (619) 754-2260
Fax: (619) 754-2261

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D1058226
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-30-2026

About OTAY LAKES SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Otay Lakes Surgery Center, Llc, a provider established in Chula Vista, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1376595421 assigned on May 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Gary Kurth (Vp Operations And Administration)

NPI
1376595421
Provider Name
OTAY LAKES SURGERY CENTER, LLC
Entity Type
Organization
Location Address
955 LANE AVE SUITE 100 CHULA VISTA, CA 91914
Location Phone
(619) 754-2260
Location Fax
(619) 754-2261
Mailing Address
955 LANE AVE SUITE 100 CHULA VISTA, CA 91914
Mailing Phone
(619) 754-2260
Mailing Fax
(619) 754-2261
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2006
Last Update Date
08-22-2020
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. GARY KURTH

Authorized Official Title
VP OPERATIONS AND ADMINISTRATION
Authorized Official Phone
(619) 754-2260

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
SUR01779FMEDICAID (05)CA 

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 13 times for 11 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 48 times for 30 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 17 times for 11 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 18 times for 13 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 78 times for 47 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 100 times for 35 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 17 times for 14 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 42 times for 25 patients

Release of wrist ligament using an endoscope

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

This service was performed 24 times for 20 patients

Repair of shoulder rotator cuff using an endoscope

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

This service was performed 15 times for 15 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
05D1058226
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 31, 2024
Certificate Expiration Date
August 30, 2026
Laboratory Director
BRYCE KIM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Otay Lakes Surgery Center, Llc 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 1376595421, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
1
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 7 → 14 → 5 5 → 10 → 1 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 4 + 6 + 1 + 0 + 9 + 1 + 0 + 4 + 4 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1376595421.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Specialist
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914
Physical Therapist
955 LANE AVE, 201
CHULA VISTA, CA 91914
Orthopaedic Surgery (Hand Surgery)
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914
Specialist
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914
Orthopaedic Surgery (Sports Medicine)
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914
Orthopaedic Surgery
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914
Physical Therapist
955 LANE AVE, #201
CHULA VISTA, CA 91914
Physical Therapist
955 LANE AVE, 201
CHULA VISTA, CA 91914
Occupational Therapist (Hand)
955 LANE AVE, #201
CHULA VISTA, CA 91914
Physical Therapist (Orthopedic)
955 LANE AVE, STE 201
CHULA VISTA, CA 91914
Physical Therapist
955 LANE AVE, SUITE 201
CHULA VISTA, CA 91914
Surgery
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914
Orthopaedic Surgery
955 LANE AVE, SUITE 200
CHULA VISTA, CA 91914

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376595421, enumerated as an "organization" on May 17, 2006.

The provider is located at 955 LANE AVE SUITE 100 CHULA VISTA, CA 91914 and the phone number is (619) 754-2260.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.