SHASTA COMMUNITY COLLEGE - STUDENT HEALTH SERVICES
NPI 1033320726
Clinic/Center - Student Health in Redding, CA

NPI Status: Active since May 24, 2007

Contact Information

11555 OLD OREGON TRL
REDDING, CA
ZIP 96003
Phone: (530) 242-7580
Fax: (530) 225-4968

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  • Organization
  • Clinic/Center
  • Student Health
  • CLIA Number: 05D0956664
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 02-02-2027

About SHASTA COMMUNITY COLLEGE - STUDENT HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Shasta Community College - Student Health Services, a primary care provider established in Redding, California operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1033320726 assigned on May 2007. The practitioner's primary taxonomy code is 261QS1000X with license number G45631 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Julian Fuentes M.d. (Contracted Physician)

NPI
1033320726
Provider Name
SHASTA COMMUNITY COLLEGE - STUDENT HEALTH SERVICES
Entity Type
Organization
Location Address
11555 OLD OREGON TRL REDDING, CA 96003
Location Phone
(530) 242-7580
Location Fax
(530) 225-4968
Mailing Address
11555 OLD OREGON TRL REDDING, CA 96003
Mailing Phone
(530) 242-7580
Mailing Fax
(530) 225-4968
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2007
Last Update Date
08-22-2020
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A primary care provider (PCP) like Shasta Community College - Student Health Services 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 .

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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 Student Health

Taxonomy Code
261QS1000X
Type
Ambulatory Health Care Facilities
License No.
G45631
License State
CA

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

DR. JULIAN FUENTES M.D.

Authorized Official Title
CONTRACTED PHYSICIAN
Authorized Official Phone
(530) 242-7580

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
05D0956664
Facility Type
School/Student Health Service
Certificate Effective Date
February 03, 2025
Certificate Expiration Date
February 02, 2027
Laboratory Director
FREDERICK M. DAVID MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shasta Community College - Student Health Services 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 1033320726, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 6 + 3 + 6 + 2 + 0 + 7 + 4 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1033320726.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033320726, enumerated as an "organization" on May 24, 2007.

The provider is located at 11555 OLD OREGON TRL REDDING, CA 96003 and the phone number is (530) 242-7580.

Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.