SAN JOAQUIN LASER SURGERY CENTER
NPI 1639183486
Clinic/Center - Ambulatory Surgical in Stockton, CA
NPI Status: Active since July 28, 2006
Contact Information
1805 N CALIFORNIA ST
SUITE 101 A
STOCKTON, CA
ZIP 95204
Phone: (209) 948-3241
Fax: (209) 948-9321
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D0936965
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 12-03-2027
About SAN JOAQUIN LASER SURGERY CENTER
This page provides the complete NPI Profile along with additional information for San Joaquin Laser Surgery Center, 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 1639183486 assigned on July 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 30000469 (CA). 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 Philip A Edington Md (Director)
- NPI
- 1639183486
- Provider Name
- SAN JOAQUIN LASER SURGERY CENTER
- Entity Type
- Organization
- Location Address
- 1805 N CALIFORNIA ST SUITE 101 A STOCKTON, CA 95204
- Location Phone
- (209) 948-3241
- Location Fax
- (209) 948-9321
- Mailing Address
- 1805 N CALIFORNIA ST SUITE 101 A STOCKTON, CA 95204
- Mailing Phone
- (209) 948-3241
- Mailing Fax
- (209) 948-9321
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-28-2006
- Last Update Date
- 08-22-2020
- 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
- License No.
- 30000469
- License State
- CA
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
- 05D0936965
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- December 04, 2025
- Certificate Expiration Date
- December 03, 2027
- Laboratory Director
- JULIO NARVAEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to San Joaquin Laser 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 1639183486, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).
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 74 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
STOCKTON, CA 95204
STOCKTON, CA 95204
STOCKTON, CA 95204
STOCKTON, CA 95204
STOCKTON, CA 95204
STOCKTON, CA 95204
STOCKTON, CA 95204
STOCKTON, CA 95204
STOCKTON, CA 95204
STOCKTON, CA 95204
STOCKTON, CA 95204
STOCKTON, CA 95204
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639183486, enumerated as an "organization" on July 28, 2006.
The provider is located at 1805 N CALIFORNIA ST SUITE 101 A STOCKTON, CA 95204 and the phone number is (209) 948-3241.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
