ST. JOSEPH'S SURGERY CENTER LP
NPI 1619974219
Clinic/Center - Ambulatory Surgical in Stockton, CA

NPI Status: Active since June 28, 2005

Contact Information

1800 N CALIFORNIA ST
STE 1
STOCKTON, CA
ZIP 95204
Phone: (209) 467-6316
Fax: (209) 461-6895

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D1034458
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 12-02-2026

About ST. JOSEPH'S SURGERY CENTER LP

This page provides the complete NPI Profile along with additional information for St. Joseph's Surgery Center Lp, a provider established in Stockton, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1619974219 assigned on June 2005. The practitioner's primary taxonomy code is 261QA1903X with license number EXEMPT FROM LICENSUR (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Eric Boon (Authorized Official)

NPI
1619974219
Provider Name
ST. JOSEPH'S SURGERY CENTER LP
Entity Type
Organization
Location Address
1800 N CALIFORNIA ST STE 1 STOCKTON, CA 95204
Location Phone
(209) 467-6316
Location Fax
(209) 461-6895
Mailing Address
1800 N CALIFORNIA ST STE 1 STOCKTON, CA 95204
Mailing Phone
(209) 467-6316
Mailing Fax
(209) 461-6895
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2005
Last Update Date
10-23-2024
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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 No.
EXEMPT FROM LICENSUR
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

ERIC BOON

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(480) 567-0269

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P00215810OTHER (01)CAMEDICARE RAILROAD CARRIER
05-C0001711MEDICAID (05)CA 
CA0300001807OTHER (01)CAMISC

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 196 times for 194 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 161 times for 159 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 34 times for 33 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 71 times for 71 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

This service was performed 17 times for 17 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 48 times for 48 patients

Imaging guidance for procedure, 60 minutes or less

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

This service was performed 26 times for 23 patients

Injection beneath lining of large bowel using a flexible endoscope

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

This service was performed 19 times for 19 patients

Insertion of spinal neurostimulator electrode array through skin

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

This service was performed 53 times for 19 patients

Insertion of spinal neurostimulator generator or receiver

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

This service was performed 13 times for 13 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

This service was performed 16 times for 16 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 185 times for 183 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
05D1034458
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
December 03, 2024
Certificate Expiration Date
December 02, 2026
Laboratory Director
JEFFREY MCDAVIT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. Joseph's Surgery Center Lp 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.

Reviews for ST. JOSEPH'S SURGERY CENTER LP

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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 1619974219, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
9
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 1 → 2 9 → 18 → 9 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 1 + 8 + 7 + 8 + 2 + 2 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1619974219.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist (Pharmacotherapy)
1800 N CALIFORNIA ST, ST. JOSEPH'S MEDICAL CENTER - PHARMACY DEPT
STOCKTON, CA 95204
Pharmacist
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Specialist
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Pharmacist
1800 N CALIFORNIA ST, SJMC PHARMACY DEPARTMENT
STOCKTON, CA 95204
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Pediatrics (Neonatal-Perinatal Medicine)
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Emergency Medicine
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Internal Medicine
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Pathology (Anatomic Pathology)
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Surgery
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Emergency Medicine
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Dietitian, Registered
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Family Medicine
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Nurse Practitioner (Family)
1800 N CALIFORNIA ST, ST JOESPH MEDICAL CENTER
STOCKTON, CA 95204
Nurse Practitioner (Obstetrics & Gynecology)
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Nurse Practitioner (Family)
1800 N CALIFORNIA ST, ST. JOSEPH'S CAREVAN SERVICES
STOCKTON, CA 95204
Radiology (Therapeutic Radiology)
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Internal Medicine
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Specialist
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Anesthesiology
1800 N CALIFORNIA ST
STOCKTON, CA 95204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619974219, enumerated as an "organization" on June 28, 2005.

The provider is located at 1800 N CALIFORNIA ST STE 1 STOCKTON, CA 95204 and the phone number is (209) 467-6316.

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

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.