JEWISH COMMUNITY FREE CLINIC
NPI 1073843819
Public Health or Welfare in Santa Rosa, CA
NPI Status: Active since December 29, 2009
Contact Information
50 MONTGOMERY DR
SANTA ROSA, CA
ZIP 95404
Phone: (707) 585-7780
- Organization
- Public Health or Welfare
- CLIA Number: 05D0989667
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 09-12-2026
About JEWISH COMMUNITY FREE CLINIC
This page provides the complete NPI Profile along with additional information for Jewish Community Free Clinic, a provider established in Santa Rosa, California operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1073843819 assigned on December 2009. The practitioner's primary taxonomy code is 251K00000X with license number 550001029 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Donna L Waldman (Executive Director)
- NPI
- 1073843819
- Provider Name
- JEWISH COMMUNITY FREE CLINIC
- Entity Type
- Organization
- Location Address
- 50 MONTGOMERY DR SANTA ROSA, CA 95404
- Location Phone
- (707) 585-7780
- Mailing Address
- 50 MONTGOMERY DR SANTA ROSA, CA 95404
- Mailing Phone
- (707) 585-7780
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-29-2009
- Last Update Date
- 09-10-2021
- 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
Public Health or Welfare
- Taxonomy Code
- 251K00000X
- Type
- Agencies
- License No.
- 550001029
- License State
- CA
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
- 05D0989667
- Facility Type
- Community Clinic
- Certificate Effective Date
- September 13, 2024
- Certificate Expiration Date
- September 12, 2026
- Laboratory Director
- JOSHUA B. WEIL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jewish Community Free Clinic 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 1073843819, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073843819, enumerated as an "organization" on December 29, 2009.
The provider is located at 50 MONTGOMERY DR SANTA ROSA, CA 95404 and the phone number is (707) 585-7780.
Public Health or Welfare with taxonomy code 251K00000X.
