ARCHIBALD SURGERY CENTER, LLC
NPI 1982975959
Clinic/Center - Ambulatory Surgical in Rancho Cucamonga, CA

NPI Status: Active since January 23, 2012

Contact Information

9674 ARCHIBALD AVE
SUITE 125
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 989-4100
Fax: (909) 989-5400

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D1036267
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 01-24-2027

About ARCHIBALD SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Archibald Surgery Center, Llc, a provider established in Rancho Cucamonga, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1982975959 assigned on January 2012. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Sunil M Shivaram M.d. (Medical Director)

NPI
1982975959
Provider Name
ARCHIBALD SURGERY CENTER, LLC
Entity Type
Organization
Location Address
9674 ARCHIBALD AVE SUITE 125 RANCHO CUCAMONGA, CA 91730
Location Phone
(909) 989-4100
Location Fax
(909) 989-5400
Mailing Address
9674 ARCHIBALD AVE SUITE 125 RANCHO CUCAMONGA, CA 91730
Mailing Phone
(909) 296-8930
Mailing Fax
(909) 989-5400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2012
Last Update Date
09-19-2023
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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. SUNIL M SHIVARAM M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(909) 624-8077

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 34 times for 34 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 17 times for 17 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 12 times for 12 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 98 times for 74 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 19 times for 13 patients

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml

This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.

This service was performed 24 times for 21 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 284 times for 195 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 22 times for 22 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
05D1036267
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
January 25, 2025
Certificate Expiration Date
January 24, 2027
Laboratory Director
SUNIL M. SHIVARAM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Archibald Surgery Center, 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 1982975959, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
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 8 → 16 → 7 9 → 18 → 9 5 → 10 → 1 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 + 6 + 2 + 1 + 8 + 7 + 1 + 0 + 9 + 1 + 0 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1982975959.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
9674 ARCHIBALD AVE, SUITE 125
RANCHO CUCAMONGA, CA 91730
Nurse Anesthetist, Certified Registered
9674 ARCHIBALD AVE, SUITE 125
RANCHO CUCAMONGA, CA 91730
Non-Pharmacy Dispensing Site
9674 ARCHIBALD AVE
RANCHO CUCAMONGA, CA 91730

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982975959, enumerated as an "organization" on January 23, 2012.

The provider is located at 9674 ARCHIBALD AVE SUITE 125 RANCHO CUCAMONGA, CA 91730 and the phone number is (909) 989-4100.

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