DIGNITY HEALTH MEDICAL FOUNDATION
NPI 1003504424
Clinic/Center - Multi-Specialty in Rancho Cordova, CA

NPI Status: Active since April 25, 2023

Contact Information

3400 DATA DR
RANCHO CORDOVA, CA
ZIP 95670
Phone: (916) 851-2559

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 05D1035319
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 12-28-2026

About DIGNITY HEALTH MEDICAL FOUNDATION

This page provides the complete NPI Profile along with additional information for Dignity Health Medical Foundation, a provider established in Rancho Cordova, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1003504424 assigned on April 2023. The practitioner's primary taxonomy code is 261QM1300X. 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 Theresa M Hylen (Chief Financial Officer)

NPI
1003504424
Provider Name
DIGNITY HEALTH MEDICAL FOUNDATION
Entity Type
Organization
Location Address
3400 DATA DR RANCHO CORDOVA, CA 95670
Location Phone
(916) 851-2559
Mailing Address
3400 DATA DR RANCHO CORDOVA, CA 95670
Mailing Phone
(916) 851-2559
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-25-2023
Last Update Date
04-25-2023
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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 Multi-Specialty

Taxonomy Code
261QM1300X
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

THERESA M HYLEN

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(916) 851-2559

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
05D1035319
Facility Type
Hospice
Certificate Effective Date
December 29, 2024
Certificate Expiration Date
December 28, 2026
Laboratory Director
JAGMOHAN KHAIRA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dignity Health Medical Foundation 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 1003504424, 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
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
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 0 → 0 5 → 10 → 1 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 0 + 3 + 1 + 0 + 0 + 8 + 4 + 4 + 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 1003504424.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Counselor
3400 DATA DR
RANCHO CORDOVA, CA 95670
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3400 DATA DR
RANCHO CORDOVA, CA 95670
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3400 DATA DR
RANCHO CORDOVA, CA 95670
Social Worker
3400 DATA DR
RANCHO CORDOVA, CA 95670
Radiology (Vascular & Interventional Radiology)
3400 DATA DR
RANCHO CORDOVA, CA 95670
Pharmacist
3400 DATA DR
RANCHO CORDOVA, CA 95670
Pharmacist
3400 DATA DR
RANCHO CORDOVA, CA 95670
Clinic/Center (Multi-Specialty)
3400 DATA DR, DHMF BUSINESS OFFICE
RANCHO CORDOVA, CA 95670
Registered Nurse
3400 DATA DR
RANCHO CORDOVA, CA 95670
Registered Nurse (General Practice)
3400 DATA DR
RANCHO CORDOVA, CA 95670
Clinic/Center (Multi-Specialty)
3400 DATA DR
RANCHO CORDOVA, CA 95670
Clinic/Center (Multi-Specialty)
3400 DATA DR
RANCHO CORDOVA, CA 95670
Home Health
3400 DATA DR
RANCHO CORDOVA, CA 95670
Hospice Care, Community Based
3400 DATA DR
RANCHO CORDOVA, CA 95670

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003504424, enumerated as an "organization" on April 25, 2023.

The provider is located at 3400 DATA DR RANCHO CORDOVA, CA 95670 and the phone number is (916) 851-2559.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.