MASONIC HOMES OF CALIFORNIA
NPI 1114111317
Community/Behavioral Health in Union City, CA

NPI Status: Active since August 30, 2007

Contact Information

34400 MISSION BLVD
UNION CITY, CA
ZIP 94587
Phone: (510) 471-3434
Fax: (510) 476-6329

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 05D0705553
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About MASONIC HOMES OF CALIFORNIA

This page provides the complete NPI Profile along with additional information for Masonic Homes Of California, a provider established in Union City, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1114111317 assigned on August 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Ms. Kimberly Rich (Executive Director)

NPI
1114111317
Provider Name
MASONIC HOMES OF CALIFORNIA
Entity Type
Organization
Location Address
34400 MISSION BLVD UNION CITY, CA 94587
Location Phone
(510) 471-3434
Location Fax
(510) 476-6329
Mailing Address
34400 MISSION BLVD UNION CITY, CA 94587
Mailing Phone
(510) 471-3434
Mailing Fax
(510) 476-6329
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2007
Last Update Date
11-22-2019
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

MS. KIMBERLY RICH

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(877) 488-6293

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
05D0705553
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
BALA ANNADURAI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Masonic Homes Of California 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 1114111317, we treat the final digit (7) 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 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 2 + 1 + 2 + 3 + 2 + 24 = 43

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

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1114111317.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Pharmacist
34400 MISSION BLVD
UNION CITY, CA 94587
Specialist
34400 MISSION BLVD
UNION CITY, CA 94587
Specialist
34400 MISSION BLVD
UNION CITY, CA 94587
Physical Therapist
34400 MISSION BLVD
UNION CITY, CA 94587
Recreation Therapist
34400 MISSION BLVD
UNION CITY, CA 94587
Pharmacy (Long Term Care Pharmacy)
34400 MISSION BLVD
UNION CITY, CA 94587
Nursing Facility/Intermediate Care Facility
34400 MISSION BLVD
UNION CITY, CA 94587
Occupational Therapy Assistant
34400 MISSION BLVD
UNION CITY, CA 94587
Physical Therapist
34400 MISSION BLVD
UNION CITY, CA 94587
Occupational Therapy Assistant
34400 MISSION BLVD
UNION CITY, CA 94587
Speech-Language Pathologist
34400 MISSION BLVD
UNION CITY, CA 94587
Pharmacy
34400 MISSION BLVD
UNION CITY, CA 94587
Skilled Nursing Facility
34400 MISSION BLVD
UNION CITY, CA 94587
Occupational Therapist
34400 MISSION BLVD
UNION CITY, CA 94587
Physical Therapist
34400 MISSION BLVD
UNION CITY, CA 94587
Speech-Language Pathologist
34400 MISSION BLVD
UNION CITY, CA 94587
Occupational Therapy Assistant
34400 MISSION BLVD
UNION CITY, CA 94587

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114111317, enumerated as an "organization" on August 30, 2007.

The provider is located at 34400 MISSION BLVD UNION CITY, CA 94587 and the phone number is (510) 471-3434.

Community/Behavioral Health with taxonomy code 251S00000X.