FREMONT SURGERY CENTER NORTH
NPI 1780996868
Clinic/Center - Ambulatory Surgical in Fremont, CA
NPI Status: Active since July 06, 2010
Contact Information
39472 PASEO PADRE PKWY
FREMONT, CA
ZIP 94538
Phone: (510) 456-4600
Fax: (510) 794-6822
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D0598799
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 12-31-2024
About FREMONT SURGERY CENTER NORTH
This page provides the complete NPI Profile along with additional information for Fremont Surgery Center North, a provider established in Fremont, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1780996868 assigned on July 2010. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. John Mazoros (Managing Partner)
- NPI
- 1780996868
- Provider Name
- FREMONT SURGERY CENTER NORTH
- Entity Type
- Organization
- Location Address
- 39472 PASEO PADRE PKWY FREMONT, CA 94538
- Location Phone
- (510) 456-4600
- Location Fax
- (510) 794-6822
- Mailing Address
- 39350 CIVIC CENTER DR STE 280 FREMONT, CA 94538
- Mailing Phone
- (510) 456-4600
- Mailing Fax
- (510) 794-6822
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-06-2010
- Last Update Date
- 10-13-2011
- 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
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
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
- 05D0598799
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- June 03, 2022
- Certificate Expiration Date
- December 31, 2024
- Laboratory Director
- ANMOL MAHAL MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Fremont Surgery Center North after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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. | |||||||||
| 1 | 7 | 8 | 0 | 9 | 9 | 6 | 8 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 18 | 9 | 12 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 1 + 8 + 9 + 1 + 2 + 8 + 1 + 2 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1780996868 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780996868, enumerated as an "organization" on July 06, 2010.
The provider is located at 39472 PASEO PADRE PKWY FREMONT, CA 94538 and the phone number is (510) 456-4600.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
