SOCAL OUTPATIENT SURGERY CENTER NPI 1568820892
Clinic/Center - Ambulatory Surgical in Glendale, CA

About SOCAL OUTPATIENT SURGERY CENTER

Socal Outpatient Surgery Center is a provider established in Glendale, California operating as a Clinic/center with a focus in ambulatory surgical . The NPI number of Socal Outpatient Surgery Center is 1568820892 and was assigned on February 2016. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Angel Samvalian (Ceo)

NPI
1568820892
Provider NameSOCAL OUTPATIENT SURGERY CENTER
Location Address716 W BROADWAY GLENDALE, CA 91204
Location Phone(818) 945-9845
Mailing Address1141 N BRAND BLVD STE 202 GLENDALE, CA 91202
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-01-2016
Last Update Date02-15-2022



The CLIA number of Socal Outpatient Surgery Center is 05D2113203 registered as a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Socal Outpatient 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.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code261QA1903X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAmbulatory Surgical

Business Address

SOCAL OUTPATIENT SURGERY CENTER
716 W BROADWAY
GLENDALE, CA
ZIP 91204
Phone: (818) 945-9845
Fax: (818) 945-0892

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Mailing Address

SOCAL OUTPATIENT SURGERY CENTER
1141 N BRAND BLVD STE 202
GLENDALE, CA
ZIP 91202
Phone: (818) 945-9845
Fax: (818) 945-0892


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name ANGEL SAMVALIAN
Authorized Official TitleCEO
Authorized Official Phone(818) 402-7759

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 the NPI number 1568820892 is:

CLIA Number05D2113203
Facility TypeAMBULATORY SURGERY CENTER
Certificate TypeCertificate of Waiver

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.
1568820892
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281620818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 6 + 2 + 0 + 8 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1568820892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144367111 JONATHAN B LAU D.O.
Individual
Anesthesiology716 W BROADWAY
GLENDALE, CA 91204
(818) 550-0900
1245473677MARK C. ROTHMAN, M.D., INC.
Organization
Anesthesiology716 W BROADWAY
GLENDALE, CA 91204
(818) 244-8200
1477707438JANICE JAE TOWNSEND MD INC
Organization
Anesthesiology716 W BROADWAY
GLENDALE, CA 91204
(818) 244-8200
1558407254GLENDALE MULTI-SPECIALTY SURGERY CENTER, LLC
Organization
Clinic/Center (Ambulatory Surgical)716 W BROADWAY
GLENDALE, CA 91204
(818) 244-8200
1083205306BRAND SURGICAL INSTITUTE
Organization
Clinic/Center (Ambulatory Surgical)716 W BROADWAY
GLENDALE, CA 91204
(818) 243-9999

Frequently Asked Questions

What is SOCAL OUTPATIENT SURGERY CENTER NPI number?

The NPI number assigned to SOCAL OUTPATIENT SURGERY CENTER is 1568820892, registered as an "organization" on February 01, 2016

Where is SOCAL OUTPATIENT SURGERY CENTER located?

The provider is located at 716 W Broadway Glendale, Ca 91204 and the phone number is (818) 945-9845

What kind of medical provider is SOCAL OUTPATIENT SURGERY CENTER?

This medical organization specializes in Clinic/Center with a focus in Ambulatory Surgical

What is SOCAL OUTPATIENT SURGERY CENTER CLIA number?

The provider's CLIA number is 05D2113203 for a "ambulatory surgery center" 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..

How do I update my NPI information?

The NPI record of SOCAL OUTPATIENT SURGERY CENTER was last updated on February 01, 2016. 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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