CORNERSTONE SURGERY CENTER INC.
NPI 1952809865
Clinic/Center - Ambulatory Surgical in Riverside, CA

NPI Status: Active since January 25, 2018

Contact Information

10694 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92505
Phone: (951) 977-9778
Fax: (951) 977-9768

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Ambulatory Surgical
CLIA Number: 05D2200202
CLIA Cert. Type: Ambulatory Surgery Center
CLIA Exp. Date: 11-12-2024

About CORNERSTONE SURGERY CENTER INC.

This page provides the complete NPI Profile along with additional information for Cornerstone Surgery Center Inc., a provider established in Riverside, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1952809865 assigned on January 2018. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Cornerstone Surgery Center Inc.. The authorized official of this NPI record is Waylan Wyatt Kruse Crna, Msn (Chief/officer)

NPI: 1952809865
Provider Legal Name: CORNERSTONE SURGERY CENTER & ANESTHESIA NURSING SERVICES INC.
Other Organization Name: CORNERSTONE SURGERY CENTER INC.
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 10694 MAGNOLIA AVE RIVERSIDE, CA 92505
Location Phone: (951) 977-9778
Location Fax: (951) 977-9768
Mailing Address: 10694 MAGNOLIA AVE RIVERSIDE, CA 92505
Mailing Phone: (951) 335-5250
Mailing Fax: (951) 977-9768
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-25-2018
Last Update Date: 02-28-2024
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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: WAYLAN WYATT KRUSE CRNA, MSN
Authorized Official Title: CHIEF/OFFICER
Authorized Official Phone: (714) 336-0429

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: 05D2200202
Facility Type: Ambulatory Surgery Center
Certificate Effective Date: November 13, 2022
Certificate Expiration Date: November 12, 2024
Laboratory Director: MARK GAON
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Cornerstone 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.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	9	5	2	8	0	9	8	6	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	9	10	2	16	0	18	8	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 1 + 6 + 0 + 1 + 8 + 8 + 1 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 5									5

The NPI number 1952809865 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.