FRESNO SPECIALTY SURGERY CENTER PC
NPI 1861930729
Clinic/Center - Ambulatory Surgical in Fresno, CA

NPI Status: Active since February 10, 2017

Contact Information

6181 N THESTA ST STE 102
FRESNO, CA
ZIP 93710
Phone: (800) 991-6448
Fax: (424) 369-9555

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2129087
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-11-2027

About FRESNO SPECIALTY SURGERY CENTER PC

This page provides the complete NPI Profile along with additional information for Fresno Specialty Surgery Center Pc, a provider established in Fresno, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1861930729 assigned on February 2017. The practitioner's primary taxonomy code is 261QA1903X with license number C3950414 (CA). The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Daniel Taheri (Ceo)

NPI
1861930729
Provider Name
FRESNO SPECIALTY SURGERY CENTER PC
Entity Type
Organization
Location Address
6181 N THESTA ST STE 102 FRESNO, CA 93710
Location Phone
(800) 991-6448
Location Fax
(424) 369-9555
Mailing Address
PO BOX 16297 BEVERLY HILLS, CA 90209
Mailing Phone
(800) 991-6448
Mailing Fax
(424) 369-9555
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-10-2017
Last Update Date
04-30-2026
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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.
C3950414
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 TAHERI

Authorized Official Title
CEO
Authorized Official Phone
(310) 922-1412

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

This service was performed 18 times for 17 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

This service was performed 15 times for 13 patients

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
05D2129087
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 12, 2025
Certificate Expiration Date
April 11, 2027
Laboratory Director
DANIEL P. TAHERI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fresno Specialty Surgery Center Pc 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 1861930729, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 1 + 8 + 3 + 0 + 7 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1861930729.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861930729, enumerated as an "organization" on February 10, 2017.

The provider is located at 6181 N THESTA ST STE 102 FRESNO, CA 93710 and the phone number is (800) 991-6448.

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