EXECUTIVE SURGERY CENTER, INC.
NPI 1952698078
Clinic/Center - Ambulatory Surgical in Danville, CA

NPI Status: Active since July 10, 2011

Contact Information

1320 EL CAPITAN DR
SUITE 100
DANVILLE, CA
ZIP 94526
Phone: (925) 963-0759

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2077548
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 10-20-2026

About EXECUTIVE SURGERY CENTER, INC.

This page provides the complete NPI Profile along with additional information for Executive Surgery Center, Inc., a provider established in Danville, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1952698078 assigned on July 2011. The practitioner's primary taxonomy code is 261QA1903X with license number A69275 (CA). 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 Dr. Salim Shelby M.d. (Owner)

NPI
1952698078
Provider Name
EXECUTIVE SURGERY CENTER, INC.
Entity Type
Organization
Location Address
1320 EL CAPITAN DR SUITE 100 DANVILLE, CA 94526
Location Phone
(925) 963-0759
Mailing Address
1320 EL CAPITAN DR SUITE 100 DANVILLE, CA 94526
Mailing Phone
(925) 963-0759
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2011
Last Update Date
04-20-2012
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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.
A69275
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

DR. SALIM SHELBY M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(925) 963-0759

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 374 times for 364 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 314 times for 311 patients

Biopsy of small bowel (except ileum) using an endoscope

A small bowel biopsy involves using a thin, flexible tube called an endoscope to examine the small intestine and take a small tissue sample. This sample is then examined under a microscope for any abnormalities. It's a safe, minimally invasive procedure.

This service was performed 368 times for 359 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 21 times for 21 patients

Injection beneath lining of large bowel using a flexible endoscope

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

This service was performed 264 times for 264 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 457 times for 217 patients

Injection of substance into middle or upper spine canal using imaging guidance

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

This service was performed 34 times for 32 patients

Removal of large bowel tissue using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

This service was performed 282 times for 281 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

This service was performed 65 times for 65 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 115 times for 115 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
05D2077548
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
October 21, 2024
Certificate Expiration Date
October 20, 2026
Laboratory Director
SALIM SHELBY MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Executive Surgery Center, Inc. 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 1952698078, 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 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
9
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 5 → 10 → 1 6 → 12 → 3 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 0 + 2 + 1 + 2 + 9 + 1 + 6 + 0 + 1 + 4 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1952698078.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1320 EL CAPITAN DR, SUITE 120
DANVILLE, CA 94526
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1320 EL CAPITAN DR, SUITE 120
DANVILLE, CA 94526
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1320 EL CAPITAN DR, STE 120
DANVILLE, CA 94526
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1320 EL CAPITAN DR, SUITE 120
DANVILLE, CA 94526
Surgery (Vascular Surgery)
1320 EL CAPITAN DR, STE 120
DANVILLE, CA 94526
Family Medicine
1320 EL CAPITAN DR, SUITE 310
DANVILLE, CA 94526
Podiatrist (Foot & Ankle Surgery)
1320 EL CAPITAN DR, #410
DANVILLE, CA 94526
Family Medicine
1320 EL CAPITAN DR, STE 400
DANVILLE, CA 94526
Orthopaedic Surgery
1320 EL CAPITAN DR, SUITE 200
DANVILLE, CA 94526
Orthopaedic Surgery
1320 EL CAPITAN DR, SUITE 200
DANVILLE, CA 94526
Surgery
1320 EL CAPITAN DR, STE 120
DANVILLE, CA 94526
Surgery
1320 EL CAPITAN DR, STE 120
DANVILLE, CA 94526
Surgery
1320 EL CAPITAN DR, SUITE 440
DANVILLE, CA 94526
Surgery (Vascular Surgery)
1320 EL CAPITAN DR, STE 120
DANVILLE, CA 94526
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1320 EL CAPITAN DR, SUITE 200
DANVILLE, CA 94526
Nurse Anesthetist, Certified Registered
1320 EL CAPITAN DR, SUITE 110
DANVILLE, CA 94526
Dermatology
1320 EL CAPITAN DR
DANVILLE, CA 94526
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1320 EL CAPITAN DR, SUITE 200
DANVILLE, CA 94526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952698078, enumerated as an "organization" on July 10, 2011.

The provider is located at 1320 EL CAPITAN DR SUITE 100 DANVILLE, CA 94526 and the phone number is (925) 963-0759.

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