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

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D0598799
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 06-02-2026

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 15 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
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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

MR. JOHN MAZOROS

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(510) 456-4600

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, 2024
Certificate Expiration Date
June 02, 2026
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 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 1780996868, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
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 8 → 16 → 7 9 → 18 → 9 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 6 + 0 + 1 + 8 + 9 + 1 + 2 + 8 + 1 + 2 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1780996868.

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.