CANYON PINOLE SURGERY CENTER, LP
NPI 1497791040
Clinic/Center - Ambulatory Surgical in Pinole, CA

NPI Status: Active since June 21, 2006

Contact Information

1700 SAN PABLO AVE
STE. D
PINOLE, CA
ZIP 94564
Phone: (510) 724-9500
Fax: (510) 724-9511

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D1036771
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 02-08-2027

About CANYON PINOLE SURGERY CENTER, LP

This page provides the complete NPI Profile along with additional information for Canyon Pinole Surgery Center, Lp, a provider established in Pinole, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1497791040 assigned on June 2006. 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 authorized official of this NPI record is David Park (Administrator)

NPI
1497791040
Provider Name
CANYON PINOLE SURGERY CENTER, LP
Entity Type
Organization
Location Address
1700 SAN PABLO AVE STE. D PINOLE, CA 94564
Location Phone
(510) 724-9500
Location Fax
(510) 724-9511
Mailing Address
1700 SAN PABLO AVE STE D PINOLE, CA 94564
Mailing Phone
(510) 724-9500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2006
Last Update Date
09-08-2022
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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

DAVID PARK

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(510) 724-9500

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.

Complex removal of cataract with insertion of prosthetic lens

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

This service was performed 40 times for 34 patients

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg

Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.

This service was performed 448 times for 80 patients

Extensive repair of turning-outward eyelid defect

This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.

This service was performed 20 times for 16 patients

Incision of tear duct using an endoscope

This procedure involves making a small cut in your tear duct with a special tool called an endoscope. It helps to improve tear drainage and reduce issues like excessive tearing or eye infections. It's a common, safe procedure.

This service was performed 13 times for 11 patients

Incision to improve eye fluid flow

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

This service was performed 28 times for 22 patients

Laser repair to improve eye fluid flow

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

This service was performed 54 times for 42 patients

Partial removal of nasal sinus

A partial removal of nasal sinus is a surgical procedure to eliminate a portion of the sinus. This is often done to alleviate chronic sinusitis, improve breathing, or remove growths. The procedure is generally safe and effective.

This service was performed 13 times for 11 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 181 times for 128 patients

Removal of excessive skin and fat of upper eyelid

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

This service was performed 69 times for 39 patients

Removal of growth of eyelid

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

This service was performed 20 times for 16 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 82 times for 64 patients

Repair of tendon of upper eyelid

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

This service was performed 51 times for 28 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
05D1036771
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
SCOTT E. LEE MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Canyon Pinole Surgery Center, Lp 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 1497791040, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

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
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
0
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 7 → 14 → 5 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 + 1 + 4 + 9 + 2 + 0 + 8 + 24 = 70

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

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

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1497791040.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Anesthesiology
1700 SAN PABLO AVE
PINOLE, CA 94564
Orthopaedic Surgery
1700 SAN PABLO AVE, SUITE A
PINOLE, CA 94564
Hearing Aid Equipment
1700 SAN PABLO AVE, SUITE F
PINOLE, CA 94564
Orthopaedic Surgery
1700 SAN PABLO AVE, SUITE A
PINOLE, CA 94564
Orthopaedic Surgery
1700 SAN PABLO AVE, SUITE A
PINOLE, CA 94564
Audiologist
1700 SAN PABLO AVE, STE F
PINOLE, CA 94564
Anesthesiology
1700 SAN PABLO AVE
PINOLE, CA 94564
Clinic/Center (Ambulatory Surgical)
1700 SAN PABLO AVE, SUITE D
PINOLE, CA 94564
Nurse Anesthetist, Certified Registered
1700 SAN PABLO AVE
PINOLE, CA 94564

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497791040, enumerated as an "organization" on June 21, 2006.

The provider is located at 1700 SAN PABLO AVE STE. D PINOLE, CA 94564 and the phone number is (510) 724-9500.

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