CARMEL VALLEY SURGICAL CENTER
NPI 1710325220
Clinic/Center - Ambulatory Surgical in San Diego, CA

NPI Status: Active since June 06, 2013

Contact Information

11943 EL CAMINO REAL
SUITE 100
SAN DIEGO, CA
ZIP 92130
Phone: (858) 259-3223

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2060275
  • CLIA Cert. Type: Blood Bank
  • CLIA Exp. Date: 06-09-2027

About CARMEL VALLEY SURGICAL CENTER

This page provides the complete NPI Profile along with additional information for Carmel Valley Surgical Center, a provider established in San Diego, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1710325220 assigned on June 2013. The practitioner's primary taxonomy code is 261QA1903X with license number A82484 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Amir Karam M.d. (Owner)

NPI
1710325220
Provider Name
CARMEL VALLEY SURGICAL CENTER
Entity Type
Organization
Location Address
11943 EL CAMINO REAL SUITE 100 SAN DIEGO, CA 92130
Location Phone
(858) 259-3223
Mailing Address
11943 EL CAMINO REAL SUITE 100 SAN DIEGO, CA 92130
Mailing Phone
(858) 259-3223
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-06-2013
Last Update Date
06-06-2013
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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.
A82484
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

AMIR KARAM M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(858) 259-3223

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
05D2060275
Facility Type
Blood Bank
Certificate Effective Date
June 10, 2025
Certificate Expiration Date
June 09, 2027
Laboratory Director
MARK EDMUNDS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Carmel Valley Surgical 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710325220
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720621024
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 2 + 1 + 0 + 2 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1710325220 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

DR.KERI,A PROFESSIONAL CORPORATION

Dentist

(Pediatric Dentistry)

11943 EL CAMINO REAL
STE 200
SAN DIEGO, CA
ZIP 92130

(619) 216-7336

CARMEL VALLEY SURGICAL CENTER LLC

Clinic/Center

(Ambulatory Surgical)

11943 EL CAMINO REAL
SUITE 100
SAN DIEGO, CA
ZIP 92130

(858) 259-3223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710325220, enumerated as an "organization" on June 06, 2013.

The provider is located at 11943 EL CAMINO REAL SUITE 100 SAN DIEGO, CA 92130 and the phone number is (858) 259-3223.

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