SPACE COAST SURGICAL ASSISTING LLC
NPI 1922404441
Physician Assistant - Surgical in Melbourne, FL
NPI Status: Active since November 11, 2014
Contact Information
749 MCDERMOTT AVE
MELBOURNE, FL
ZIP 32935
Phone: (321) 890-2022
- Organization
- Physician Assistant
- Surgical
- CLIA Number: 10D2280177
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-13-2027
About SPACE COAST SURGICAL ASSISTING LLC
This page provides the complete NPI Profile along with additional information for Space Coast Surgical Assisting Llc, a provider established in Melbourne, Florida operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1922404441 assigned on November 2014. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Space Coast Surgical Assisting Llc 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 Michael A Dancy Csfa, Cst (Mgr)
- NPI
- 1922404441
- Provider Name
- SPACE COAST SURGICAL ASSISTING LLC
- Entity Type
- Organization
- Location Address
- 749 MCDERMOTT AVE MELBOURNE, FL 32935
- Location Phone
- (321) 890-2022
- Mailing Address
- 1270 N WICKHAM RD STE 16-422 MELBOURNE, FL 32935
- Mailing Phone
- (321) 890-2022
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-11-2014
- Last Update Date
- 11-11-2014
- 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
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
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
- 10D2280177
- Facility Type
- Physician Office
- Certificate Effective Date
- April 14, 2025
- Certificate Expiration Date
- April 13, 2027
- Laboratory Director
- AKASH PATEL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Space Coast Surgical Assisting 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 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 1922404441, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
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 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922404441, enumerated as an "organization" on November 11, 2014.
The provider is located at 749 MCDERMOTT AVE MELBOURNE, FL 32935 and the phone number is (321) 890-2022.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
