SUNCREST PALLIATIVE CALIFORNIA
NPI 1043736333
Family Medicine - Hospice and Palliative Medicine in Fremont, CA
NPI Status: Active since August 17, 2017
Contact Information
42808 CHRISTY ST STE 216
FREMONT, CA
ZIP 94538
Phone: (408) 900-8838
- Organization
- Family Medicine
- Hospice and Palliative Medicine
- CLIA Number: 05D2067012
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 10-06-2027
About SUNCREST PALLIATIVE CALIFORNIA
This page provides the complete NPI Profile along with additional information for Suncrest Palliative California, a provider established in Fremont, California operating as a Family Medicine, focusing in hospice and palliative medicine . The healthcare provider is registered in the NPI registry with number 1043736333 assigned on August 2017. The practitioner's primary taxonomy code is 207QH0002X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Suncrest Palliative California. The authorized official of this NPI record is Tyler Godfrey (Cfo)
- NPI
- 1043736333
- Provider Legal Name
- SUNCREST HOSPICE SAN JOSE LLC
- Other Organization Name
- SUNCREST PALLIATIVE CALIFORNIA
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 42808 CHRISTY ST STE 216 FREMONT, CA 94538
- Location Phone
- (408) 900-8838
- Mailing Address
- 1275 E FORT UNION BLVD STE 210 MIDVALE, UT 84047
- Mailing Phone
- (801) 849-0486
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-17-2017
- Last Update Date
- 08-17-2017
- 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
Family Medicine Hospice and Palliative Medicine
- Taxonomy Code
- 207QH0002X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 05D2067012
- Facility Type
- Hospice
- Certificate Effective Date
- October 07, 2025
- Certificate Expiration Date
- October 06, 2027
- Laboratory Director
- EPIFANIO DELEON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Suncrest Palliative California 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 1043736333, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
FREMONT, CA 94538
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043736333, enumerated as an "organization" on August 17, 2017.
The provider is located at 42808 CHRISTY ST STE 216 FREMONT, CA 94538 and the phone number is (408) 900-8838.
Family Medicine with taxonomy code 207QH0002X and a focus in Hospice and Palliative Medicine.
