BROADWAY LASER SURGICAL INSTITUTE, INC.
NPI 1558853234
Clinic/Center - Ambulatory Surgical in Glendale, CA

NPI Status: Active since May 30, 2018

Contact Information

1100 E BROADWAY STE 201
GLENDALE, CA
ZIP 91205
Phone: (818) 449-3937

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2306832
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 06-24-2026

About BROADWAY LASER SURGICAL INSTITUTE, INC.

This page provides the complete NPI Profile along with additional information for Broadway Laser Surgical Institute, Inc., a provider established in Glendale, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1558853234 assigned on May 2018. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Abraham Ebbie Soroudi M.d. (Medical Director)

NPI
1558853234
Provider Name
BROADWAY LASER SURGICAL INSTITUTE, INC.
Entity Type
Organization
Location Address
1100 E BROADWAY STE 201 GLENDALE, CA 91205
Location Phone
(818) 449-3937
Mailing Address
1100 E BROADWAY STE 201 GLENDALE, CA 91205
Mailing Phone
(818) 449-3937
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-30-2018
Last Update Date
04-27-2020
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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

ABRAHAM EBBIE SOROUDI M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(310) 474-2010

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 46 times for 41 patients

Destruction of leaking blood vessels of retina using laser

This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.

This service was performed 16 times for 11 patients

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml

This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.

This service was performed 868 times for 139 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 167 times for 112 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 149 times for 116 patients

Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis

This procedure involves the removal of excess tissue, muscle, and membrane from the eyelid to correct drooping or paralysis. It helps improve vision and appearance. The operation is performed under local or general anesthesia, ensuring patient comfort throughout.

This service was performed 24 times for 18 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 51 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
05D2306832
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 25, 2024
Certificate Expiration Date
June 24, 2026
Laboratory Director
ABRAHAM E. SOROUDI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Broadway Laser Surgical Institute, 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 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 1558853234, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 5 → 10 → 1 8 → 16 → 7 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 0 + 8 + 1 + 6 + 5 + 6 + 2 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1558853234.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558853234, enumerated as an "organization" on May 30, 2018.

The provider is located at 1100 E BROADWAY STE 201 GLENDALE, CA 91205 and the phone number is (818) 449-3937.

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