DIGNITY HEALTH MEDICAL GROUP - INLAND EMPIRE, A SERVICE OF DIGNITY HEA
NPI 1053653873
Clinic/Center - Multi-Specialty in Highland, CA

NPI Status: Active since March 19, 2013

Contact Information

4240 HIGHLAND AVE
SUITE B
HIGHLAND, CA
ZIP 92346
Phone: (805) 383-5258
Fax: (805) 614-5901

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 05D0911591
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-08-2028

About DIGNITY HEALTH MEDICAL GROUP - INLAND EMPIRE, A SERVICE OF DIGNITY HEA

This page provides the complete NPI Profile along with additional information for Dignity Health Medical Group - Inland Empire, A Service Of Dignity Hea, a provider established in Highland, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1053653873 assigned on March 2013. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Dignity Health Medical Group - Inland Empire, A Service Of Dignity Hea. The authorized official of this NPI record is Theresa M Hylen (Chief Financial Officer)

NPI
1053653873
Provider Legal Name
DIGNITY HEALTH MEDICAL FOUNDATION
Other Organization Name
DIGNITY HEALTH MEDICAL GROUP - INLAND EMPIRE, A SERVICE OF DIGNITY HEA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4240 HIGHLAND AVE SUITE B HIGHLAND, CA 92346
Location Phone
(805) 383-5258
Location Fax
(805) 614-5901
Mailing Address
PO BOX 743260 LOS ANGELES, CA 90074
Mailing Phone
(916) 379-2726
Mailing Fax
(805) 614-5901
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-19-2013
Last Update Date
11-18-2020
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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

THERESA M HYLEN

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(916) 851-2559

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
05D0911591
Facility Type
Physician Office
Certificate Effective Date
February 09, 2026
Certificate Expiration Date
February 08, 2028
Laboratory Director
NAMRITA GOGIA
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Dignity Health Medical Group - Inland Empire, A Service Of Dignity Hea in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1053653873, 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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
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 6 → 12 → 3 3 → 6 7 → 14 → 5

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 + 1 + 2 + 5 + 6 + 8 + 1 + 4 + 24 = 57

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.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1053653873.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
4240 HIGHLAND AVE
HIGHLAND, CA 92346
Pediatrics
4240 HIGHLAND AVE
HIGHLAND, CA 92346
Pediatrics
4240 HIGHLAND AVE
HIGHLAND, CA 92346
Nurse Practitioner (Family)
4240 HIGHLAND AVE
HIGHLAND, CA 92346

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053653873, enumerated as an "organization" on March 19, 2013.

The provider is located at 4240 HIGHLAND AVE SUITE B HIGHLAND, CA 92346 and the phone number is (805) 383-5258.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.