FULLERTON SURGICAL CENTER
NPI 1962423574
Clinic/Center - Ambulatory Surgical in Fullerton, CA
NPI Status: Active since July 21, 2006
Contact Information
2240 NORTH HARBOR BLVD.
SUITE 100
FULLERTON, CA
ZIP 92835
Phone: (714) 870-8300
Fax: (714) 870-8301
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D1027424
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 06-28-2026
About FULLERTON SURGICAL CENTER
This page provides the complete NPI Profile along with additional information for Fullerton Surgical Center, a provider established in Fullerton, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1962423574 assigned on July 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 550000031 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Fullerton Surgical Center. The authorized official of this NPI record is Mr. Phillip A Clendenin (President Of Lp)
- NPI
- 1962423574
- Provider Legal Name
- FULLERTON SURGICAL CENTER, LP
- Other Organization Name
- FULLERTON SURGICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2240 NORTH HARBOR BLVD. SUITE 100 FULLERTON, CA 92835
- Location Phone
- (714) 870-8300
- Location Fax
- (714) 870-8301
- Mailing Address
- 20 BURTON HILLS BLVD. SUITE 500 ATTN: L&C NASHVILLE, TN 37215
- Mailing Phone
- (615) 240-3820
- Mailing Fax
- (714) 870-8301
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-21-2006
- Last Update Date
- 09-07-2023
- 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
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 550000031
- License State
- CA
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.
Crushing of stone of ureter with insertion of stent using an endoscope
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
Imaging of urinary tract following injection of a contrast agent
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
Injection of substance into lower spine canal using imaging guidance
Insertion of sacral nerve neurostimulator electrode array
Insertion of spinal neurostimulator electrode array through skin
Insertion of spinal neurostimulator generator or receiver
Shock wave crushing of kidney stones
This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.
This service was performed 16 times for 12 patientsThis procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
This service was performed 31 times for 18 patientsThis procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
This service was performed 13 times for 13 patientsThis 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 43 times for 26 patientsThis procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
This service was performed 19 times for 17 patientsThe insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.
This service was performed 29 times for 14 patientsThis procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
This service was performed 39 times for 14 patientsThe insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.
This service was performed 12 times for 12 patientsShock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.
This service was performed 15 times for 15 patientsCLIA 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
- 05D1027424
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- June 29, 2024
- Certificate Expiration Date
- June 28, 2026
- Laboratory Director
- KAVEH MATIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fullerton Surgical Center 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 1962423574, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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 66 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962423574, enumerated as an "organization" on July 21, 2006.
The provider is located at 2240 NORTH HARBOR BLVD. SUITE 100 FULLERTON, CA 92835 and the phone number is (714) 870-8300.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.