SOUTH VALLEY VASCULAR ASSOCIATES INC.
NPI 1508166190
Surgery - Vascular Surgery in Visalia, CA

NPI Status: Active since October 28, 2010

Contact Information

820 S. AKERS
SUITE 120
VISALIA, CA
ZIP 93277
Phone: (559) 625-4118
Fax: (559) 625-6004

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  • Organization
  • Surgery
  • Vascular Surgery
  • CLIA Number: 05D2092652
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 03-09-2025

About SOUTH VALLEY VASCULAR ASSOCIATES INC.

South Valley Vascular Associates Inc. is a provider established in Visalia, California operating as a Surgery with a focus in vascular surgery . The healthcare provider is registered in the NPI registry with number 1508166190 assigned on October 2010. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Matthew P Campbell M.d. (President)

NPI
1508166190
Provider Name
SOUTH VALLEY VASCULAR ASSOCIATES INC.
Entity Type
Organization
Location Address
820 S. AKERS SUITE 120 VISALIA, CA 93277
Location Phone
(559) 625-4118
Location Fax
(559) 625-6004
Mailing Address
PO BOX 7030 VISALIA, CA 93290
Mailing Phone
(559) 625-4118
Mailing Fax
(559) 625-6004
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
10-28-2010
Last Update Date
02-10-2015
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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

Surgery Vascular Surgery

Taxonomy Code
2086S0129X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MATTHEW P CAMPBELL M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(559) 625-4118

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
05D2092652
Facility Type
Physician Office
Certificate Effective Date
March 10, 2023
Certificate Expiration Date
March 09, 2025
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to South Valley Vascular Associates 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508166190
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25082612118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 2 + 6 + 1 + 2 + 1 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1508166190 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508166190, enumerated in the NPI registry as an "organization" on October 28, 2010

The provider is located at 820 S. Akers Suite 120 Visalia, Ca 93277 and the phone number is (559) 625-4118

This medical organization specializes in Surgery with taxonomy code 2086S0129X with a focus in Vascular Surgery

The provider's CLIA number is 05D2092652 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on October 28, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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