CRESTWOOD CHULA VISTA
NPI 1023495181
Intermediate Care Facility, Mental Illness in Chula Vista, CA
NPI Status: Active since April 28, 2015
Contact Information
960 THIRD AVE
CHULA VISTA, CA
ZIP 91911
Phone: (209) 478-5291
- Organization
- Intermediate Care Facility, Mental Illne...
- CLIA Number: 05D2305016
- CLIA Cert. Type: Other - MENTAL HEALTH MHRC
- CLIA Exp. Date: 05-21-2026
About CRESTWOOD CHULA VISTA
This page provides the complete NPI Profile along with additional information for Crestwood Chula Vista, a provider established in Chula Vista, California operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1023495181 assigned on April 2015. The practitioner's primary taxonomy code is 310500000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Crestwood Chula Vista. The authorized official of this NPI record is Michelle Smith (Executive Director Ar Reimbursement)
- NPI
- 1023495181
- Provider Legal Name
- CRESTWOOD BEHAVIORAL HEALTH, INC.
- Other Organization Name
- CRESTWOOD CHULA VISTA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 960 THIRD AVE CHULA VISTA, CA 91911
- Location Phone
- (209) 478-5291
- Mailing Address
- 7590 SHORELINE DR STOCKTON, CA 95219
- Mailing Phone
- (209) 478-5291
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-28-2015
- Last Update Date
- 11-30-2023
- Code Navigator
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
Intermediate Care Facility, Mental Illness
- Taxonomy Code
- 310500000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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
- 05D2305016
- Facility Type
- Other - MENTAL HEALTH MHRC
- Certificate Effective Date
- May 22, 2024
- Certificate Expiration Date
- May 21, 2026
- Laboratory Director
- KRAUZ GANADJIAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Crestwood Chula Vista 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.
Reviews for CRESTWOOD CHULA VISTA
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1023495181, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023495181, enumerated as an "organization" on April 28, 2015.
The provider is located at 960 THIRD AVE CHULA VISTA, CA 91911 and the phone number is (209) 478-5291.
Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.
