SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP INC
NPI 1669967311
Specialist in Fresno, CA

NPI Status: Active since June 26, 2018

Contact Information

1270 E. SPRUCE
FRESNO, CA
ZIP 93720
Phone: (559) 256-5200

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  • Organization
  • Specialist
  • CLIA Number: 05D2326912
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 07-10-2027

About SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP INC

This page provides the complete NPI Profile along with additional information for Sierra Pacific Orthopaedic Center Medical Group Inc, a provider established in Fresno, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1669967311 assigned on June 2018. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Sierra Pacific Orthopaedic Center Medical Group Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jeremy Ealand (Coo)

NPI
1669967311
Provider Name
SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP INC
Entity Type
Organization
Location Address
1270 E. SPRUCE FRESNO, CA 93720
Location Phone
(559) 256-5200
Mailing Address
1630 E HERNDON AVE FRESNO, CA 93720
Mailing Phone
(559) 256-5200
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-26-2018
Last Update Date
10-12-2018
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

JEREMY EALAND

Authorized Official Title
COO
Authorized Official Phone
(559) 256-5317

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
05D2326912
Facility Type
Independent
Certificate Effective Date
July 11, 2025
Certificate Expiration Date
July 10, 2027
Laboratory Director
MARIAM MOLANI
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Sierra Pacific Orthopaedic Center Medical Group Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1669967311, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 6 → 12 → 3 9 → 18 → 9 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 1 + 8 + 6 + 1 + 4 + 3 + 2 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1669967311.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669967311, enumerated as an "organization" on June 26, 2018.

The provider is located at 1270 E. SPRUCE FRESNO, CA 93720 and the phone number is (559) 256-5200.

Specialist with taxonomy code 174400000X.