PRIVATE PRACTICE
NPI 1134593833
Community Based Residential Treatment Facility, Mental Illness in Camarillo, CA
NPI Status: Active since November 18, 2015
Contact Information
1722 LEWIS RD
268
CAMARILLO, CA
ZIP 93012
Phone: (805) 445-7800
Fax: (805) 987-0258
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 05D0891793
- CLIA Cert. Type: Other
- CLIA Exp. Date: 09-15-2026
About PRIVATE PRACTICE
This page provides the complete NPI Profile along with additional information for Private Practice, a provider established in Camarillo, California operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1134593833 assigned on November 2015. The practitioner's primary taxonomy code is 320800000X with license number MFC29100 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Private Practice. The authorized official of this NPI record is Mrs. Heather None Campbell (Adminastration)
- NPI
- 1134593833
- Provider Legal Name
- CASA PACIFICA
- Other Organization Name
- PRIVATE PRACTICE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1722 LEWIS RD 268 CAMARILLO, CA 93012
- Location Phone
- (805) 445-7800
- Location Fax
- (805) 987-0258
- Mailing Address
- 1722 S LEWIS RD NONE CAMARILLO, CA 93012
- Mailing Phone
- (805) 445-7800
- Mailing Fax
- (805) 987-0258
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-18-2015
- Last Update Date
- 11-18-2015
- 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
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- License No.
- MFC29100
- License State
- CA
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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) |
|---|---|---|---|---|
| 1 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | MFC2900 (CA) |
| 2 | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | MFC29100 (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
- 05D0891793
- Facility Type
- Other
- Certificate Effective Date
- September 16, 2024
- Certificate Expiration Date
- September 15, 2026
- Laboratory Director
- BARBARA NICHOLAS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Private Practice 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 1134593833, 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 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 67 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134593833, enumerated as an "organization" on November 18, 2015.
The provider is located at 1722 LEWIS RD 268 CAMARILLO, CA 93012 and the phone number is (805) 445-7800.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
