HERNDON SURGERY CENTER
NPI 1538403670
Clinic/Center - Ambulatory Surgical in Fresno, CA

NPI Status: Active since November 15, 2012

Contact Information

1843 E FIR AVE
SUITE 104
FRESNO, CA
ZIP 93720
Phone: (559) 323-6611
Fax: (559) 323-5322

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D1077958
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 12-20-2025

About HERNDON SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Herndon Surgery Center, a provider established in Fresno, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1538403670 assigned on November 2012. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Herndon Surgery Center. The authorized official of this NPI record is Ms. Billie A. Payne (President Of Lp)

NPI
1538403670
Provider Legal Name
FRESNO CA MULTI ASC LP
Other Organization Name
HERNDON SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1843 E FIR AVE SUITE 104 FRESNO, CA 93720
Location Phone
(559) 323-6611
Location Fax
(559) 323-5322
Mailing Address
1A BURTON HILLS BLVD SUITE 500 NASHVILLE, TN 37215
Mailing Phone
(615) 240-3820
Mailing Fax
(559) 323-5322
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2012
Last Update Date
09-07-2023
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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
License State
CA

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. BILLIE A. PAYNE

Authorized Official Title
PRESIDENT OF LP
Authorized Official Phone
(615) 665-1283

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
05D1077958
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
December 21, 2023
Certificate Expiration Date
December 20, 2025
Laboratory Director
THAMPI K. JOHN MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Herndon Surgery Center 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.
1538403670
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2568806614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 8 + 0 + 6 + 6 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1538403670 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

AC HEALTH, INC.

Home Health

1843 E FIR AVE
SUITE 101
FRESNO, CA
ZIP 93720

(559) 224-0560

AC HEALTH, INC.

Home Health

1843 E FIR AVE
SUITE 101
FRESNO, CA
ZIP 93720

(559) 224-0560

HERNDON SURGERY CENTER, INC.

Clinic/Center

(Ambulatory Surgical)

1843 E FIR AVE
SUTE 104
FRESNO, CA
ZIP 93720

(559) 903-6696

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538403670, enumerated as an "organization" on November 15, 2012.

The provider is located at 1843 E FIR AVE SUITE 104 FRESNO, CA 93720 and the phone number is (559) 323-6611.

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