PREMIER OUTPATIENT SURGERY CENTER
NPI 1629313739
Clinic/Center - Ambulatory Surgical in San Bernardino, CA

NPI Status: Active since November 29, 2012

Contact Information

1003 E BRIER DRIVE
SUITE 170
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 370-2190
Fax: (909) 370-2266

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D0986727
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-21-2027

About PREMIER OUTPATIENT SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Premier Outpatient Surgery Center, a provider established in San Bernardino, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1629313739 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 3 years ago. The provider's is doing business as Premier Outpatient Surgery Center. The authorized official of this NPI record is Mr. Jeffery Snodgrass (President)

NPI
1629313739
Provider Legal Name
COLTON CA MULTI ASC LP
Other Organization Name
PREMIER OUTPATIENT SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1003 E BRIER DRIVE SUITE 170 SAN BERNARDINO, CA 92408
Location Phone
(909) 370-2190
Location Fax
(909) 370-2266
Mailing Address
1A BURTON HILLS BLVD. LICENSURE AND CERT DEPT NASHVILLE, TN 37215
Mailing Phone
(615) 263-4011
Mailing Fax
(909) 370-2266
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2012
Last Update Date
01-20-2023
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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

MR. JEFFERY SNODGRASS

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

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.

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 116 times for 67 patients

Destruction of nerve branches of knee using imaging guidance

This procedure involves the use of imaging technology to accurately locate and destroy specific nerve branches in the knee. This can help reduce chronic knee pain. The procedure is minimally invasive and usually performed under local anesthesia.

This service was performed 14 times for 11 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

This service was performed 61 times for 39 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 184 times for 106 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

This service was performed 119 times for 62 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 78 times for 64 patients

Injection of substance into middle or upper spine canal using imaging guidance

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

This service was performed 60 times for 46 patients

Injection of upper or middle spine facet joint using imaging guidance, single level

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

This service was performed 74 times for 37 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

This service was performed 33 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 42 times for 16 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 19 times for 19 patients

Placement of stabilizing device to lower spine level

The placement of a stabilizing device to the lower spine level is a procedure aimed at providing support to your back. It involves positioning a device in your lower spine to help maintain its alignment and stability, reducing pain and improving mobility.

This service was performed 14 times for 14 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
05D0986727
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 22, 2025
Certificate Expiration Date
May 21, 2027
Laboratory Director
JIENSUP KIM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Premier 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.

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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 1629313739, 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
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
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 2 → 4 3 → 6 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 + 6 + 4 + 9 + 6 + 1 + 6 + 7 + 6 + 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 1629313739.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629313739, enumerated as an "organization" on November 29, 2012.

The provider is located at 1003 E BRIER DRIVE SUITE 170 SAN BERNARDINO, CA 92408 and the phone number is (909) 370-2190.

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