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ST. BERNARDINE SURGERY CENTER INC. NPI 1366615486


NPI Information

NPI: 1366615486
Provider Name: ST. BERNARDINE SURGERY CENTER, INC.
Classification: Phlebology - 202K00000X
Entity Type: Organization

CLIA Number: 05D0575005

Address:
1869 N WATERMAN AVE
SUITE 200
SAN BERNARDINO, CA
ZIP 92404
Phone: (909) 886-6911
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ST. BERNARDINE SURGERY CENTER, INC. is a phlebology in San Bernardino, CA. The provider is phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. ST. BERNARDINE SURGERY CENTER, INC. NPI is 1366615486. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1869 N WATERMAN AVE
SUITE 200
SAN BERNARDINO, CA
ZIP 92404-830
Phone: (909) 886-6911

The provider's authorized official is Pedro Soriano Alupay .
The authorized official title is President and has the following contact phone number (909) 886-6911.

The CLIA number assigned to this NPI record is 05D0575005 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/9/2008 and was last updated on 4/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryNo
2207L00000XAnesthesiologyNo
3207LP2900XAnesthesiologyPain MedicineNo
4207N00000XDermatologyNo
5207Q00000XFamily MedicineNo
6207RG0100XInternal MedicineGastroenterologyNo
7207VG0400XObstetrics & GynecologyGynecologyNo
8207X00000XOrthopaedic SurgeryNo
9208600000XSurgeryNo
10208VP0014XPain MedicineInterventional Pain MedicineNo
11202K00000XPhlebologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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