CORONA SPECIALTY CARE SURGERY CENTER
NPI 1760740674
Clinic/Center - Ambulatory Surgical in Corona, CA

NPI Status: Active since April 27, 2012

Contact Information

1810 FULLERTON AVE
SUITE 103
CORONA, CA
ZIP 92881
Phone: (951) 734-7246

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2046285
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-29-2026

About CORONA SPECIALTY CARE SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Corona Specialty Care Surgery Center, a provider established in Corona, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1760740674 assigned on April 2012. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Corona Specialty Care Surgery Center. The authorized official of this NPI record is Khuram A Sial M.d. (President)

NPI
1760740674
Provider Legal Name
CORONA PAIN MANAGEMENT CENTER
Other Organization Name
CORONA SPECIALTY CARE SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1810 FULLERTON AVE SUITE 103 CORONA, CA 92881
Location Phone
(951) 734-7246
Mailing Address
31569 CANYON ESTATES DR STE 135 LAKE ELSINORE, CA 92532
Mailing Phone
(951) 734-7246
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-27-2012
Last Update Date
03-14-2024
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

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

KHURAM A SIAL M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(951) 734-7246

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
05D2046285
Facility Type
Physician Office
Certificate Effective Date
August 30, 2024
Certificate Expiration Date
August 29, 2026
Laboratory Director
KHURAM SIAL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Corona Specialty Care Surgery 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 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 1760740674, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 7 → 14 → 5 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 1 + 4 + 4 + 0 + 6 + 1 + 4 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1760740674.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
1810 FULLERTON AVE, SUITE 102
CORONA, CA 92881
Optometrist
1810 FULLERTON AVE, SUITE 104
CORONA, CA 92881
Dentist (Periodontics)
1810 FULLERTON AVE, #205
CORONA, CA 92881
Dermatology
1810 FULLERTON AVE, STE 101
CORONA, CA 92881
Clinic/Center (Ambulatory Surgical)
1810 FULLERTON AVE, SUITE 103
CORONA, CA 92881
Ophthalmology
1810 FULLERTON AVE, SUITE 103
CORONA, CA 92881
Internal Medicine
1810 FULLERTON AVE, SUITE 102
CORONA, CA 92881
Internal Medicine (Gastroenterology)
1810 FULLERTON AVE, SUITE 203
CORONA, CA 92881
Optometrist
1810 FULLERTON AVE, SUITE 201
CORONA, CA 92881
Family Medicine
1810 FULLERTON AVE, SUITE #104
CORONA, CA 92881
Physical Medicine & Rehabilitation (Pain Medicine)
1810 FULLERTON AVE, SUITE #104
CORONA, CA 92881
Dentist (Periodontics)
1810 FULLERTON AVE, #205
CORONA, CA 92881
Pain Medicine (Interventional Pain Medicine)
1810 FULLERTON AVE, SUITE #103
CORONA, CA 92881
Obstetrics & Gynecology (Gynecology)
1810 FULLERTON AVE, STE 203
CORONA, CA 92881
Clinic/Center (Medical Specialty)
1810 FULLERTON AVE, SUITE 203
CORONA, CA 92881
Family Medicine
1810 FULLERTON AVE, STE 105
CORONA, CA 92881
Clinical Medical Laboratory
1810 FULLERTON AVE, STE 102
CORONA, CA 92881
Physical Medicine & Rehabilitation (Pain Medicine)
1810 FULLERTON AVE, SUITE 104
CORONA, CA 92881
Physical Medicine & Rehabilitation (Pain Medicine)
1810 FULLERTON AVE, SUITE 104
CORONA, CA 92881
Family Medicine
1810 FULLERTON AVE
CORONA, CA 92881

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760740674, enumerated as an "organization" on April 27, 2012.

The provider is located at 1810 FULLERTON AVE SUITE 103 CORONA, CA 92881 and the phone number is (951) 734-7246.

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