SHIELD CALIFORNIA HEALTH CARE CENTER, INC.
NPI 1063656320
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Tukwila, WA

NPI Status: Active since April 29, 2009

Contact Information

615 STRANDER BLVD
TUKWILA, WA
ZIP 98188
Phone: (206) 575-7837
Fax: (206) 575-6765

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Parenteral & Enteral Nutrition
  • Accepts Insurance
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About SHIELD CALIFORNIA HEALTH CARE CENTER, INC.

This page provides the complete NPI Profile along with additional information for Shield California Health Care Center, Inc., a provider established in Tukwila, Washington operating as a Durable Medical Equipment & Medical Supplies, focusing in parenteral & enteral nutrition . The healthcare provider is registered in the NPI registry with number 1063656320 assigned on April 2009. The practitioner's primary taxonomy code is 332BP3500X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mike Suor (Vp General Manager)

NPI
1063656320
Provider Name
SHIELD CALIFORNIA HEALTH CARE CENTER, INC.
Entity Type
Organization
Location Address
615 STRANDER BLVD TUKWILA, WA 98188
Location Phone
(206) 575-7837
Location Fax
(206) 575-6765
Mailing Address
27911 FRANKLIN PKWY VALENCIA, CA 91355
Mailing Phone
(661) 294-4200
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-29-2009
Last Update Date
01-14-2025
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Shield California Health Care Center, Inc. is a medicare supplier with PTAN 20660255 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Negative Pressure Wound Therapy Pumps/Supplies or Walkers or Orthoses: Off-The-Shelf or Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Surgical Dressings or Unknown.

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

Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition

Taxonomy Code
332BP3500X
Type
Suppliers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

09-1717 (WA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MIKE SUOR

Authorized Official Title
VP GENERAL MANAGER
Authorized Official Phone
(661) 294-4200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9049404MEDICAID (05)WA 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20660255
Accepts Medicare Assignment
NO
Specialities List
Medical Supply Company Other.
Competitive Bidding
NO

Supplies List

  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Negative Pressure Wound Therapy Pumps/Supplies - Wound care sets, Pumps, Canisters
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Tracheotomy Supplies - Tracheostomy care kits
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Unknown -

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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 1063656320, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 2 + 3 + 1 + 2 + 5 + 1 + 2 + 3 + 4 + 24 = 50

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

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

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1063656320.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063656320, enumerated as an "organization" on April 29, 2009.

The provider is located at 615 STRANDER BLVD TUKWILA, WA 98188 and the phone number is (206) 575-7837.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BP3500X and a focus in Parenteral & Enteral Nutrition.

The provider might be accepting Accepts: PacificSource Health Plans, Providence Health. Please consult your insurance carrier or call the provider to verify.