Organization provider

BLUE SKY SURGICAL

Registered Nurse First Assistant Nursing Care Agency

BLUE SKY SURGICAL is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104714963, based in San Jose, CA. The organization lists 2 taxonomy classifications, with Registered Nurse First Assistant recorded as primary.

Getting there

The practice address on file is 2951 WALL ST, San Jose, CA 95111. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2951 WALL ST, San Jose, CA 95111 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Registered Nurse First Assistant covers

A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. NUCC Health Care Provider Taxonomy, code 163WR0006X
Nursing Service Providers Registered Nurse Registered Nurse First Assistant

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
163WR0006X Registered Nurse First Assistant Registered Nurse First Assistant primary
251J00000X Nursing Care Agency

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104714963 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJun 27, 2025
Last updatedNov 15, 2025
StatusActive
Practice address 2951 WALL ST
San Jose, CA 95111
(408) 603-6553
This record was updated on Nov 15, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104714963 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 7 1 4 9 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 5 1 8 9 3

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104714963?
NPI 1104714963 is the National Provider Identifier assigned to BLUE SKY SURGICAL in San Jose, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Registered Nurse First Assistant cover?
A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon.
How do I contact BLUE SKY SURGICAL?
The phone number on file with NPPES is (408) 603-6553, last updated Nov 15, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104714963 a valid number?
Yes. 1104714963 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.