RAYMOND RENAISSANCE SURGERY CENTER LLC
NPI 1871939082
Clinic/Center - Ambulatory Surgical in Pasadena, CA

NPI Status: Active since May 14, 2013

Contact Information

125 N RAYMOND AVE SUITE 212
PASADENA, CA
ZIP 91105
Phone: (626) 529-3937
Fax: (626) 529-3844

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NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 12, 2026.

Record update history: Jul 21, 2022, Aug 30, 2017 (2 updates tracked since 2017).

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2079922
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 06-25-2028

About RAYMOND RENAISSANCE SURGERY CENTER LLC

This page provides the complete NPI Profile along with additional information for Raymond Renaissance Surgery Center Llc, a provider established in Pasadena, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1871939082 assigned on May 2013. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Khaled Tawansy M.d (Owner)

NPI
1871939082
Provider Name
RAYMOND RENAISSANCE SURGERY CENTER LLC
Entity Type
Organization
Location Address
125 N RAYMOND AVE SUITE 212 PASADENA, CA 91105
Location Phone
(626) 529-3937
Location Fax
(626) 529-3844
Mailing Address
7447 N FIGUEROA ST SUITE 200 LOS ANGELES, CA 90041
Mailing Phone
(626) 529-3937
Mailing Fax
(626) 529-3844
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2013
Last Update Date
07-21-2022
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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

DR. KHALED TAWANSY M.D

Authorized Official Title
OWNER
Authorized Official Phone
(323) 257-3300

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.

Aspiration of lens material by fragmenting and aspiration

Aspiration of lens material involves breaking down and removing parts of the eye's natural lens that may be causing vision problems. Using special tools, the problematic lens material is fragmented and then gently suctioned out. This procedure helps restore clearer vision.

This service was performed 18 times for 17 patients

Complex repair of detached retina and drainage of eye fluid between lens and retina

This procedure involves reattaching your detached retina, a vital layer at the back of your eye. Simultaneously, excess fluid between your lens and retina is drained. This helps restore vision and prevent further eye damage.

This service was performed 23 times for 18 patients

Creation of shunt to improve eye fluid flow using tissue graft

This procedure involves creating a new pathway for fluid to flow out of your eye using a tissue graft. It helps to lower eye pressure and prevent damage to your optic nerve, improving eye health and vision.

This service was performed 20 times for 19 patients

Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser

This procedure involves using a laser to eliminate the fluid (vitreous) between your lens and retina, along with the entire retina. It's a method often used to treat various eye conditions and improve eye health.

This service was performed 15 times for 14 patients

Destruction of eye fluid (vitreous) between lens and retina using a laser

This procedure involves applying a laser to the eye's vitreous fluid, located between the lens and retina. The laser's heat destroys the vitreous, helping to treat specific eye conditions. The process is safe, typically painless, and can significantly improve vision quality.

This service was performed 53 times for 47 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 195 times for 145 patients

Removal of eye fluid (vitreous) between lens and retina

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

This service was performed 24 times for 22 patients

Removal of membrane of retina

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

This service was performed 48 times for 45 patients

Removal of membrane of retina with removal of internal limiting membrane of retina

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

This service was performed 32 times for 28 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
05D2079922
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 26, 2026
Certificate Expiration Date
June 25, 2028
Laboratory Director
KHALED TAWANSY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Raymond Renaissance Surgery 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 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 1871939082, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
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 7 → 14 → 5 9 → 18 → 9 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 4 + 1 + 1 + 8 + 3 + 1 + 8 + 0 + 1 + 6 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1871939082.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871939082, enumerated as an "organization" on May 14, 2013.

The provider is located at 125 N RAYMOND AVE SUITE 212 PASADENA, CA 91105 and the phone number is (626) 529-3937.

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