HEALTH SERVICES FOUNDATION
NPI 1104403864
Licensed Vocational Nurse in Lathrop, CA
NPI Status: Active since March 26, 2021
Contact Information
16960 S HARLAN RD
LATHROP, CA
ZIP 95330
Phone: (800) 284-3926
- Organization
- Licensed Vocational Nurse
- CLIA Number: 05D0599552
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 08-31-2026
About HEALTH SERVICES FOUNDATION
This page provides the complete NPI Profile along with additional information for Health Services Foundation, a provider established in Lathrop, California operating as a Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1104403864 assigned on March 2021. The practitioner's primary taxonomy code is 164X00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Richard Muto (Chairman/board Of Directors)
- NPI
- 1104403864
- Provider Name
- HEALTH SERVICES FOUNDATION
- Entity Type
- Organization
- Location Address
- 16960 S HARLAN RD LATHROP, CA 95330
- Location Phone
- (800) 284-3926
- Mailing Address
- 4160 DUBLIN BLVD STE 400 DUBLIN, CA 94568
- Mailing Phone
- (925) 321-6039
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-26-2021
- Last Update Date
- 03-26-2021
- 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
Licensed Vocational Nurse
- Taxonomy Code
- 164X00000X
- Type
- Nursing Service Providers
- Taxonomy Description
- A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 05D0599552
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- JERRY REEVES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Health Services Foundation 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 1104403864, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104403864, enumerated as an "organization" on March 26, 2021.
The provider is located at 16960 S HARLAN RD LATHROP, CA 95330 and the phone number is (800) 284-3926.
Licensed Vocational Nurse with taxonomy code 164X00000X.
