EVERGREEN SURGICAL CENTER, LLC
NPI 1497171342
Clinic/Center - Ambulatory Surgical in San Diego, CA

NPI Status: Active since March 14, 2014

Contact Information

3434 MIDWAY DR
SUITE 1008
SAN DIEGO, CA
ZIP 92110
Phone: (619) 221-0146
Fax: (619) 225-9675

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About EVERGREEN SURGICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Evergreen Surgical Center, Llc, a provider established in San Diego, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1497171342 assigned on March 2014. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Ms. Maureen Jaroscak (Chief Financial Officer)

NPI
1497171342
Provider Name
EVERGREEN SURGICAL CENTER, LLC
Entity Type
Organization
Location Address
3434 MIDWAY DR SUITE 1008 SAN DIEGO, CA 92110
Location Phone
(619) 221-0146
Location Fax
(619) 225-9675
Mailing Address
9461 CHARLEVILLE BLVD SUITE 476 BEVERLY HILLS, CA 90212
Mailing Phone
(424) 279-9481
Mailing Fax
(619) 225-9675
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2014
Last Update Date
03-14-2014
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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

MS. MAUREEN JAROSCAK

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(424) 279-9481

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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 1497171342, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
2
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 1 → 2 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 8 + 7 + 2 + 7 + 2 + 3 + 8 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1497171342.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Emergency Medicine
3434 MIDWAY DR, STE 1002
SAN DIEGO, CA 92110
Emergency Medicine
3434 MIDWAY DR, STE 1002
SAN DIEGO, CA 92110
Emergency Medicine
3434 MIDWAY DR, STE 1002
SAN DIEGO, CA 92110
Specialist
3434 MIDWAY DR, SUITE 2001
SAN DIEGO, CA 92110
Specialist
3434 MIDWAY DR, SUITE 2001
SAN DIEGO, CA 92110
Clinic/Center (Ambulatory Surgical)
3434 MIDWAY DR, SUITE 1006
SAN DIEGO, CA 92110
Specialist
3434 MIDWAY DR, SUITE 1008
SAN DIEGO, CA 92110
Specialist
3434 MIDWAY DR, 1008
SAN DIEGO, CA 92110
Specialist
3434 MIDWAY DR, SUITE 1008
SAN DIEGO, CA 92110
Physical Therapist
3434 MIDWAY DR, SUITE 2005A
SAN DIEGO, CA 92110
Clinic/Center (Ambulatory Surgical)
3434 MIDWAY DR, #1006
SAN DIEGO, CA 92110
Clinic/Center (Urgent Care)
3434 MIDWAY DR, STE 1002
SAN DIEGO, CA 92110
Speech-Language Pathologist
3434 MIDWAY DR
SAN DIEGO, CA 92110
Behavior Analyst
3434 MIDWAY DR
SAN DIEGO, CA 92110
Behavior Technician
3434 MIDWAY DR
SAN DIEGO, CA 92110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497171342, enumerated as an "organization" on March 14, 2014.

The provider is located at 3434 MIDWAY DR SUITE 1008 SAN DIEGO, CA 92110 and the phone number is (619) 221-0146.

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