SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH
NPI 1083063663
Public Health or Welfare in San Bernardino, CA
NPI Status: Active since June 06, 2016
Contact Information
1505 SOUTH D STREET
SAN BERNARDINO, CA
ZIP 92415
Phone: (909) 524-1585
- Organization
- Public Health or Welfare
- CLIA Number: 05D0895485
- CLIA Cert. Type: Public Health Laboratories
- CLIA Exp. Date: 12-08-2026
About SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH
This page provides the complete NPI Profile along with additional information for San Bernardino County Department Of Public Health, a provider established in San Bernardino, California operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1083063663 assigned on June 2016. The practitioner's primary taxonomy code is 251K00000X with license number 86037189 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Donna Panganiban Rdn (Registered Dietitian)
- NPI
- 1083063663
- Provider Name
- SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH
- Entity Type
- Organization
- Location Address
- 1505 SOUTH D STREET SAN BERNARDINO, CA 92415
- Location Phone
- (909) 524-1585
- Mailing Address
- 826 AMBER OAKS CIRCLE POMONA, CA 91767
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-06-2016
- Last Update Date
- 06-06-2016
- 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.
- 86037189
- 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
- 05D0895485
- Facility Type
- Public Health Laboratories
- Certificate Effective Date
- December 09, 2024
- Certificate Expiration Date
- December 08, 2026
- Laboratory Director
- SHARON WANG
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to San Bernardino County Department Of Public Health 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 1083063663, 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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083063663, enumerated as an "organization" on June 06, 2016.
The provider is located at 1505 SOUTH D STREET SAN BERNARDINO, CA 92415 and the phone number is (909) 524-1585.
Public Health or Welfare with taxonomy code 251K00000X.
