EVERGREEN SURGERY CENTER, LLC
NPI 1538618368
Clinic/Center - Ambulatory Surgical in San Jose, CA
NPI Status: Active since September 21, 2016
Contact Information
2365 QUIMBY RD STE 180
SAN JOSE, CA
ZIP 95122
Phone: (408) 620-5675
Fax: (408) 223-1534
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D2124212
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 01-10-2027
About EVERGREEN SURGERY CENTER, LLC
This page provides the complete NPI Profile along with additional information for Evergreen Surgery Center, Llc, a provider established in San Jose, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1538618368 assigned on September 2016. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Dr. Hector Cervantes Dpm (Partner)
- NPI
- 1538618368
- Provider Name
- EVERGREEN SURGERY CENTER, LLC
- Entity Type
- Organization
- Location Address
- 2365 QUIMBY RD STE 180 SAN JOSE, CA 95122
- Location Phone
- (408) 620-5675
- Location Fax
- (408) 223-1534
- Mailing Address
- 2365 QUIMBY RD STE 180 SAN JOSE, CA 95122
- Mailing Phone
- (408) 620-5675
- Mailing Fax
- (408) 223-1534
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-21-2016
- Last Update Date
- 02-04-2019
- Code Navigator
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
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.
Insertion of pacemaker and upper and lower heart chamber electrode
A pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.
This service was performed 15 times for 15 patientsCLIA 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
- 05D2124212
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- January 11, 2025
- Certificate Expiration Date
- January 10, 2027
- Laboratory Director
- STEVEN JOHNSON, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Evergreen 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 1538618368, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538618368, enumerated as an "organization" on September 21, 2016.
The provider is located at 2365 QUIMBY RD STE 180 SAN JOSE, CA 95122 and the phone number is (408) 620-5675.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
