PIVAC ASC LLC
NPI 1679010417
Clinic/Center - Ambulatory Surgical in Culver City, CA
NPI Status: Active since January 31, 2017
Contact Information
6076 BRISTOL PKWY
SUITE 108
CULVER CITY, CA
ZIP 90230
Phone: (310) 348-9604
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D2137660
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 10-01-2027
About PIVAC ASC LLC
This page provides the complete NPI Profile along with additional information for Pivac Asc Llc, a provider established in Culver City, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1679010417 assigned on January 2017. 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 Spencer L. Brown M.d. (Medical Director)
- NPI
- 1679010417
- Provider Name
- PIVAC ASC LLC
- Entity Type
- Organization
- Location Address
- 6076 BRISTOL PKWY SUITE 108 CULVER CITY, CA 90230
- Location Phone
- (310) 348-9604
- Mailing Address
- 40 VALLEY STREAM PKWY SUITE 100 MALVERN, PA 19355
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-31-2017
- Last Update Date
- 03-11-2025
- 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
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.
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist
Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist
Insertion of needle and/or tube into hemodialysis circuit with review by radiologist
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube
Removal of tunneled central venous tube
This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
This service was performed 473 times for 227 patientsThis procedure involves placing a needle or tube into your hemodialysis circuit, a system used to clean your blood when kidneys are not working properly. A stent, a small tube, is then inserted into the dialysis segment to keep it open. A radiologist reviews the process to ensure accuracy.
This service was performed 48 times for 43 patientsThis procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.
This service was performed 19 times for 17 patientsThis is a procedure to improve your dialysis treatment. If a blood clot blocks your dialysis circuit, it's removed or dissolved. If the dialysis segment is narrow, a balloon is used to widen it. Sometimes, a stent is placed to keep it open. A radiologist reviews all these steps to ensure accuracy.
This service was performed 24 times for 21 patientsThis procedure involves eliminating a blood clot in your hemodialysis circuit, ensuring smooth blood flow. A balloon tube is used to widen the dialysis segment if needed. Images are taken and reviewed by a radiologist to confirm successful completion.
This service was performed 34 times for 25 patientsA tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
This service was performed 58 times for 57 patientsCLIA 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
- 05D2137660
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- October 02, 2025
- Certificate Expiration Date
- October 01, 2027
- Laboratory Director
- BROWN, SPENCER, MD BROWN, SPENCER, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pivac Asc Llc 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 PIVAC ASC LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1679010417, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
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 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
CULVER CITY, CA 90230
CULVER CITY, CA 90230
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679010417, enumerated as an "organization" on January 31, 2017.
The provider is located at 6076 BRISTOL PKWY SUITE 108 CULVER CITY, CA 90230 and the phone number is (310) 348-9604.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
