IVY SURGICAL CENTER, LLC
NPI 1760987374
Clinic/Center - Ambulatory Surgical in Beverly Hills, CA

NPI Status: Active since March 26, 2018

Contact Information

9701 WILSHIRE BLVD
BEVERLY HILLS, CA
ZIP 90212
Phone: (310) 598-2648

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2147804
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-25-2026

About IVY SURGICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Ivy Surgical Center, Llc, a provider established in Beverly Hills, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1760987374 assigned on March 2018. The practitioner's primary taxonomy code is 261QA1903X with license number A110166 (CA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Daniel Barrett (Md/ceo)

NPI
1760987374
Provider Name
IVY SURGICAL CENTER, LLC
Entity Type
Organization
Location Address
9701 WILSHIRE BLVD BEVERLY HILLS, CA 90212
Location Phone
(310) 598-2648
Mailing Address
9701 WILSHIRE BLVD ML1 BEVERLY HILLS, CA 90212
Mailing Phone
(310) 598-2648
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2018
Last Update Date
03-26-2018
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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.
A110166
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

DANIEL BARRETT

Authorized Official Title
MD/CEO
Authorized Official Phone
(310) 598-2648

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
05D2147804
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 26, 2024
Certificate Expiration Date
April 25, 2026
Laboratory Director
DANIEL BARRETT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ivy Surgical 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.

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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 1760987374, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
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 9 → 18 → 9 7 → 14 → 5 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 + 8 + 8 + 1 + 4 + 3 + 1 + 4 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1760987374.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Therapist
9701 WILSHIRE BLVD, MEZZANINE 1
BEVERLY HILLS, CA 90212
Anesthesiology
9701 WILSHIRE BLVD, SUITE 1000
BEVERLY HILLS, CA 90212
Plastic Surgery (Surgery of the Hand)
9701 WILSHIRE BLVD, ML01
BEVERLY HILLS, CA 90212
Surgery (Plastic and Reconstructive Surgery)
9701 WILSHIRE BLVD, ML01
BEVERLY HILLS, CA 90212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760987374, enumerated as an "organization" on March 26, 2018.

The provider is located at 9701 WILSHIRE BLVD BEVERLY HILLS, CA 90212 and the phone number is (310) 598-2648.

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