SAN QUENTIN PRISON PROGRAM
NPI 1023438645
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in San Quentin, CA

NPI Status: Active since April 22, 2014

Contact Information

1 MAIN ST
SAN QUENTIN, CA
ZIP 94964
Phone: (415) 444-0376

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance

About SAN QUENTIN PRISON PROGRAM

This page provides the complete NPI Profile along with additional information for San Quentin Prison Program, a provider established in San Quentin, California operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1023438645 assigned on April 2014. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as San Quentin Prison Program. The authorized official of this NPI record is Nicole Clarke (Assistant Regional Revenue Manager)

NPI
1023438645
Provider Legal Name
TOTAL RENAL CARE INC
Other Organization Name
SAN QUENTIN PRISON PROGRAM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 MAIN ST SAN QUENTIN, CA 94964
Location Phone
(415) 444-0376
Mailing Address
15253 BAKE PKWY IRVINE, CA 92618
Mailing Phone
(949) 930-4400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-22-2014
Last Update Date
04-22-2014
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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 End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - EPO
  • BlueSelect Bronze 2139 ($50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

NICOLE CLARKE

Authorized Official Title
ASSISTANT REGIONAL REVENUE MANAGER
Authorized Official Phone
(949) 930-6874

Reviews for SAN QUENTIN PRISON PROGRAM

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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 1023438645, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
5
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 2 → 4 4 → 8 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 4 + 3 + 8 + 3 + 1 + 6 + 6 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1023438645.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
1 MAIN ST, OHU - SAN QUENTIN STATE PRISON
SAN QUENTIN, CA 94964
Family Medicine
1 MAIN ST
SAN QUENTIN, CA 94964
Internal Medicine
1 MAIN ST
SAN QUENTIN, CA 94964
Dentist
1 MAIN ST
SAN QUENTIN, CA 94964
Dentist (General Practice)
1 MAIN ST, SAN QUENTIN SP
SAN QUENTIN, CA 94964
Family Medicine (Adult Medicine)
1 MAIN ST
SAN QUENTIN, CA 94964
Social Worker (Clinical)
1 MAIN ST, TCMP
SAN QUENTIN, CA 94964
Psychiatry & Neurology (Psychiatry)
1 MAIN ST, CALIFORNIA STATE PRISON, MENTAL HEALTH DEPT.
SAN QUENTIN, CA 94964
Psychologist (Clinical)
1 MAIN ST
SAN QUENTIN, CA 94964
Psychologist (Clinical)
1 MAIN ST
SAN QUENTIN, CA 94964
Social Worker (Clinical)
1 MAIN ST
SAN QUENTIN, CA 94964
Psychologist
1 MAIN ST
SAN QUENTIN, CA 94964
Psychologist
1 MAIN ST, CHSB RM 2123
SAN QUENTIN, CA 94964
Psychologist
1 MAIN ST
SAN QUENTIN, CA 94964
Psychologist (Clinical)
1 MAIN ST
SAN QUENTIN, CA 94964
Social Worker (Clinical)
1 MAIN ST
SAN QUENTIN, CA 94964
Psychologist
1 MAIN ST, SAN QUENTIN STATE PRISON
SAN QUENTIN, CA 94964
Psychiatry & Neurology (Psychiatry)
1 MAIN ST, CHSB-5TH FLOOR
SAN QUENTIN, CA 94964
Psychologist
1 MAIN ST
SAN QUENTIN, CA 94964
Psychiatry & Neurology (Psychiatry)
1 MAIN ST
SAN QUENTIN, CA 94964

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023438645, enumerated as an "organization" on April 22, 2014.

The provider is located at 1 MAIN ST SAN QUENTIN, CA 94964 and the phone number is (415) 444-0376.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.