SAINT AGNES MEDICAL PROVIDERS INC
NPI 1780929406
Emergency Medicine in Fresno, CA
NPI Status: Active since December 06, 2012
Contact Information
1377 E HERNDON AVE
SUITE 104
FRESNO, CA
ZIP 93720
Phone: (559) 450-7455
Fax: (559) 450-7473
- Organization
- Emergency Medicine
- CLIA Number: 05D2298368
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 01-31-2026
About SAINT AGNES MEDICAL PROVIDERS INC
This page provides the complete NPI Profile along with additional information for Saint Agnes Medical Providers Inc, a provider established in Fresno, California operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1780929406 assigned on December 2012. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Saint Agnes Medical Providers Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Stephen Paul Soldo M.d. (Owner)
- NPI
- 1780929406
- Provider Name
- SAINT AGNES MEDICAL PROVIDERS INC
- Entity Type
- Organization
- Location Address
- 1377 E HERNDON AVE SUITE 104 FRESNO, CA 93720
- Location Phone
- (559) 450-7455
- Location Fax
- (559) 450-7473
- Mailing Address
- 1303 E HERNDON AVE MS 945 FRESNO, CA 93720
- Mailing Phone
- (559) 450-7098
- Mailing Fax
- (559) 450-7473
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-06-2012
- Last Update Date
- 03-05-2013
- Code Navigator
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 2 | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 3 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 4 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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.
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
- 05D2298368
- Facility Type
- Independent
- Certificate Effective Date
- February 01, 2024
- Certificate Expiration Date
- January 31, 2026
- Laboratory Director
- TYLER GASSER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Saint Agnes Medical Providers Inc 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 1780929406, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
FRESNO, CA 93720
FRESNO, CA 93720
FRESNO, CA 93720
FRESNO, CA 93720
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780929406, enumerated as an "organization" on December 06, 2012.
The provider is located at 1377 E HERNDON AVE SUITE 104 FRESNO, CA 93720 and the phone number is (559) 450-7455.
Emergency Medicine with taxonomy code 207P00000X.
