BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION
NPI 1962500454
Clinic/Center - Ambulatory Surgical in Westminster, CA

NPI Status: Active since September 20, 2006

Contact Information

10362 BOLSA AVE STE 100
WESTMINSTER, CA
ZIP 92683
Phone: (714) 775-5690
Fax: (714) 775-7405

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D1006732
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-01-2028

About BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION

This page provides the complete NPI Profile along with additional information for Bolsa Outpatient Surgery Center A Medical Corporation, a provider established in Westminster, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1962500454 assigned on September 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Dr. Co D.l. Pham M.d. (President)

NPI
1962500454
Provider Name
BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION
Entity Type
Organization
Location Address
10362 BOLSA AVE STE 100 WESTMINSTER, CA 92683
Location Phone
(714) 775-5690
Location Fax
(714) 775-7405
Mailing Address
10362 BOLSA AVE STE 100 WESTMINSTER, CA 92683
Mailing Phone
(714) 775-5690
Mailing Fax
(714) 775-7405
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2006
Last Update Date
07-13-2017
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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. CO D.L. PHAM M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(714) 775-5690

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 35 times for 35 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 16 times for 16 patients

Complex removal of cataract with insertion of prosthetic lens

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

This service was performed 12 times for 11 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 25 times for 25 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

This service was performed 37 times for 32 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 114 times for 102 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 20 times for 20 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
05D1006732
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 02, 2026
Certificate Expiration Date
May 01, 2028
Laboratory Director
DZU TRAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bolsa Outpatient Surgery Center A Medical Corporation 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.

Reviews for BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION

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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 1962500454, 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
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 6 → 12 → 3 5 → 10 → 1 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 1 + 0 + 0 + 0 + 4 + 1 + 0 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1962500454.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pediatrics
10362 BOLSA AVE STE 100
WESTMINSTER, CA 92683
Internal Medicine
10362 BOLSA AVE STE 100
WESTMINSTER, CA 92683

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962500454, enumerated as an "organization" on September 20, 2006.

The provider is located at 10362 BOLSA AVE STE 100 WESTMINSTER, CA 92683 and the phone number is (714) 775-5690.

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