LISA JACKSON
NPI 1053029017
Nursing Home Administrator in Fresno, CA

NPI Status: Active since November 09, 2022

Contact Information

8050 N PALM AVE STE 300
FRESNO, CA
ZIP 93711
Phone: (866) 981-0656
Fax: (866) 571-5484

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  • Individual
  • Female
  • Nursing Home Administrator

About LISA JACKSON

This page provides the complete NPI Profile along with additional information for Lisa Jackson, a provider established in Fresno, California with a medical specialization in Nursing Home Administrator. The healthcare provider is registered in the NPI registry with number 1053029017 assigned on November 2022. The practitioner's primary taxonomy code is 376G00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1053029017
Provider Name
LISA JACKSON
Gender
Female
Entity Type
Individual
Location Address
8050 N PALM AVE STE 300 FRESNO, CA 93711
Location Phone
(866) 981-0656
Location Fax
(866) 571-5484
Mailing Address
8050 N PALM AVE STE 300 FRESNO, CA 93711
Mailing Phone
(866) 981-0656
Mailing Fax
(866) 571-5484
Is Sole Proprietor?
No
Enumeration Date
11-09-2022
Last Update Date
11-09-2022
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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

Nursing Home Administrator

Taxonomy Code
376G00000X
Type
Nursing Service Related Providers
License State
CA
Taxonomy Description
An individual, often licensed by the state, who is responsible for the management of a nursing home.

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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 1053029017, we treat the final digit (7) 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 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
7
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 5 → 10 → 1 0 → 0 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 0 + 2 + 1 + 8 + 0 + 2 + 24 = 43

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

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1053029017.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Marriage & Family Therapist
8050 N PALM AVE STE 300
FRESNO, CA 93711
Behavior Analyst
8050 N PALM AVE STE 300
FRESNO, CA 93711
Social Worker (Clinical)
8050 N PALM AVE STE 300
FRESNO, CA 93711
Transportation Broker
8050 N PALM AVE STE 300
FRESNO, CA 93711
Non-emergency Medical Transport (VAN)
8050 N PALM AVE STE 300
FRESNO, CA 93711
Hospice Care, Community Based
8050 N PALM AVE STE 300
FRESNO, CA 93711
Social Worker (Clinical)
8050 N PALM AVE STE 300
FRESNO, CA 93711
Marriage & Family Therapist
8050 N PALM AVE STE 300
FRESNO, CA 93711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053029017, enumerated as an "individual" on November 09, 2022.

The provider is located at 8050 N PALM AVE STE 300 FRESNO, CA 93711 and the phone number is (866) 981-0656.

Nursing Home Administrator with taxonomy code 376G00000X.