GOLDEN STATE ORTHOPEDICS & SPINE
NPI 1760135107
Orthopaedic Surgery in Capitola, CA

NPI Status: Active since January 26, 2022

Contact Information

4140 JADE ST STE 100
CAPITOLA, CA
ZIP 95010
Phone: (831) 475-4024

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Orthopaedic Surgery
CLIA Number: 05D2167095
CLIA Cert. Type: Independent
CLIA Exp. Date: 09-05-2025

About GOLDEN STATE ORTHOPEDICS & SPINE

This page provides the complete NPI Profile along with additional information for Golden State Orthopedics & Spine, a provider established in Capitola, California operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1760135107 assigned on January 2022. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Golden State Orthopedics & Spine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Stephen Hammarstrom (Ceo)

NPI: 1760135107
Provider Name: GOLDEN STATE ORTHOPEDICS & SPINE
Entity Type: Organization
Location Address: 4140 JADE ST STE 100 CAPITOLA, CA 95010
Location Phone: (831) 475-4024
Mailing Address: PO BOX 31396 WALNUT CREEK, CA 94598
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 01-26-2022
Last Update Date: 06-13-2024
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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: Orthopaedic Surgery
Taxonomy Code: 207X00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

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: STEPHEN HAMMARSTROM
Authorized Official Title: CEO
Authorized Official Phone: (925) 939-8585

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: 05D2167095
Facility Type: Independent
Certificate Effective Date: September 06, 2023
Certificate Expiration Date: September 05, 2025
Laboratory Director: DR. EMILY A. GREEN
Certificate Type: Certificate of Accreditation
Certificate Type Description: This is a CLIA certificate is issued to Golden State Orthopedics & Spine on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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.
1	7	6	0	1	3	5	1	0	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	12	0	2	3	10	1	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 2 + 3 + 1 + 0 + 1 + 0 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 7									7

The NPI number 1760135107 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.