FOREST ROAD HEALTH & WELLNESS CENTER
NPI 1003014952
Clinic/Center - Rural Health in Sonora, CA

NPI Status: Active since July 03, 2007

Contact Information

193 FAIRVIEW LN
SONORA, CA
ZIP 95370
Phone: (209) 536-5100
Fax: (209) 536-5108

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 05D0676863
  • CLIA Cert. Type: Other - PROMPT CARE
  • CLIA Exp. Date: 01-31-2028

About FOREST ROAD HEALTH & WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Forest Road Health & Wellness Center, a primary care provider established in Sonora, California operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1003014952 assigned on July 2007. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Forest Road Health & Wellness Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Forest Road Health & Wellness Center. The authorized official of this NPI record is Gregory D Mcculloch (Ceo)

NPI
1003014952
Provider Legal Name
SONORA COMMUNITY HOSPITAL
Other Organization Name
FOREST ROAD HEALTH & WELLNESS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
193 FAIRVIEW LN SONORA, CA 95370
Location Phone
(209) 536-5100
Location Fax
(209) 536-5108
Mailing Address
PO BOX 398852 SAN FRANCISCO, CA 94139
Mailing Phone
(209) 536-3900
Mailing Fax
(209) 536-5108
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-03-2007
Last Update Date
08-22-2019
Code Navigator

A primary care provider (PCP) like Forest Road Health & Wellness Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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 Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

 
2122300000XDental Providers

Dentist

 
3207N00000XAllopathic & Osteopathic Physicians

Dermatology

 
4207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

 
5207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
6207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
7207RG0100XAllopathic & Osteopathic Physicians

Internal Medicine
Gastroenterology

 
8207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

 
9207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
10207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
11207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 
12208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
13208600000XAllopathic & Osteopathic Physicians

Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

GREGORY D MCCULLOCH

Authorized Official Title
CEO
Authorized Official Phone
(209) 536-5011

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
05D0676863
Facility Type
Other - PROMPT CARE
Certificate Effective Date
February 01, 2026
Certificate Expiration Date
January 31, 2028
Laboratory Director
STEPHANIE STUART
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Forest Road Health & Wellness 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 1003014952, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 0 + 3 + 0 + 1 + 8 + 9 + 1 + 0 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1003014952.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Marriage & Family Therapist
193 FAIRVIEW LN, ST. D
SONORA, CA 95370
Psychologist (Clinical)
193 FAIRVIEW LN, SUITE F
SONORA, CA 95370
Student in an Organized Health Care Education/Training Program
193 FAIRVIEW LN
SONORA, CA 95370
Student in an Organized Health Care Education/Training Program
193 FAIRVIEW LN
SONORA, CA 95370
Student in an Organized Health Care Education/Training Program
193 FAIRVIEW LN
SONORA, CA 95370
Student in an Organized Health Care Education/Training Program
193 FAIRVIEW LN
SONORA, CA 95370
Student in an Organized Health Care Education/Training Program
193 FAIRVIEW LN
SONORA, CA 95370
Family Medicine
193 FAIRVIEW LN
SONORA, CA 95370
Student in an Organized Health Care Education/Training Program
193 FAIRVIEW LN
SONORA, CA 95370
Student in an Organized Health Care Education/Training Program
193 FAIRVIEW LN
SONORA, CA 95370
Student in an Organized Health Care Education/Training Program
193 FAIRVIEW LN
SONORA, CA 95370
Student in an Organized Health Care Education/Training Program
193 FAIRVIEW LN
SONORA, CA 95370

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003014952, enumerated as an "organization" on July 03, 2007.

The provider is located at 193 FAIRVIEW LN SONORA, CA 95370 and the phone number is (209) 536-5100.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.