SAN MATEO SURGERY CENTER LLC
NPI 1750553376
Clinic/Center - Ambulatory Surgical in San Mateo, CA

NPI Status: Active since March 25, 2008

Contact Information

66 BOVET RD
SUITE 103
SAN MATEO, CA
ZIP 94402
Phone: (650) 570-0529

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D1090125
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 10-01-2026

About SAN MATEO SURGERY CENTER LLC

This page provides the complete NPI Profile along with additional information for San Mateo Surgery Center Llc, a provider established in San Mateo, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1750553376 assigned on March 2008. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mark Sontag Md (Owner)

NPI
1750553376
Provider Name
SAN MATEO SURGERY CENTER LLC
Entity Type
Organization
Location Address
66 BOVET RD SUITE 103 SAN MATEO, CA 94402
Location Phone
(650) 570-0529
Mailing Address
66 BOVET RD SUITE 103 SAN MATEO, CA 94402
Mailing Phone
(650) 570-0529
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-25-2008
Last Update Date
02-10-2015
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MARK SONTAG MD

Authorized Official Title
OWNER
Authorized Official Phone
(650) 570-0529

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
BO043AMEDICARE PIN (08)CA 

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 62 times for 39 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 24 times for 15 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 142 times for 85 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 86 times for 47 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 28 times for 15 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 34 times for 24 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
05D1090125
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
October 02, 2024
Certificate Expiration Date
October 01, 2026
Laboratory Director
MARK SONTAG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to San Mateo Surgery Center 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 SAN MATEO SURGERY CENTER LLC

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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.
1750553376
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001056314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 5 + 6 + 3 + 1 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1750553376 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

SAN MATEO SURGERY CENTER

Clinic/Center

(Ambulatory Surgical)

66 BOVET RD
SUITE 101-103
SAN MATEO, CA
ZIP 94402

(650) 570-0529

DR. ROBERT DAVID RIDEAU DDS

Dentist

(General Practice)

66 BOVET RD
SUITE 105
SAN MATEO, CA
ZIP 94402

(650) 627-8191

JOANNE FRANCES JACOBSON MD

Anesthesiology

66 BOVET RD
STE 103
SAN MATEO, CA
ZIP 94402

(650) 570-0500

DR. ROBERT BRINK M.D.

Medical Genetics, Ph.D. Medical Genetics

66 BOVET RD
SUTIE 103
SAN MATEO, CA
ZIP 94402

(650) 570-0529

BAY AREA REPRODUCTIVE HEALTHCARE PC

Specialist

66 BOVET RD
SUITE 101
SAN MATEO, CA
ZIP 94402

(650) 570-6066

THREE ANGELS ANESTHESIA NURSING SERVICES INC.

Nurse Anesthetist, Certified Registered

66 BOVET RD
SAN MATEO, CA
ZIP 94402

(650) 570-6066

JOEL B. BECK, M.D., INC.

Surgery

(Plastic and Reconstructive Surgery)

66 BOVET RD
STE 101
SAN MATEO, CA
ZIP 94402

(650) 570-6066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750553376, enumerated as an "organization" on March 25, 2008.

The provider is located at 66 BOVET RD SUITE 103 SAN MATEO, CA 94402 and the phone number is (650) 570-0529.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.