SAN DIEGO BLOOD BANK
NPI 1164647954
Blood Bank in San Diego, CA
NPI Status: Active since April 16, 2007
Contact Information
3636 GATEWAY CENTER AVE STE 100
SAN DIEGO, CA
ZIP 92102
Phone: (619) 400-8254
Fax: (619) 725-3003
- Organization
- Blood Bank
- CLIA Number: 05D0643088
- CLIA Cert. Type: Blood Bank
- CLIA Exp. Date: 07-26-2027
About SAN DIEGO BLOOD BANK
This page provides the complete NPI Profile along with additional information for San Diego Blood Bank, a provider established in San Diego, California operating as a Blood Bank. The healthcare provider is registered in the NPI registry with number 1164647954 assigned on April 2007. The practitioner's primary taxonomy code is 331L00000X. 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 Helen Amelia Bixenman Mba/hcm (Chief Quality, Ra & Risk Officer)
- NPI
- 1164647954
- Provider Name
- SAN DIEGO BLOOD BANK
- Entity Type
- Organization
- Location Address
- 3636 GATEWAY CENTER AVE STE 100 SAN DIEGO, CA 92102
- Location Phone
- (619) 400-8254
- Location Fax
- (619) 725-3003
- Mailing Address
- 3636 GATEWAY CENTER AVE STE 100 SAN DIEGO, CA 92102
- Mailing Phone
- (619) 400-8254
- Mailing Fax
- (619) 725-3003
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-16-2007
- Last Update Date
- 11-16-2021
- 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
Blood Bank
- Taxonomy Code
- 331L00000X
- Type
- Suppliers
- Taxonomy Description
- An institution (organization or distinct part thereof) that performs, or is responsible for the performance of, the collection, processing, storage and/or issuance of human blood and blood components, intended for transfusion. The institution may also collect, process, and/or distribute human tissue, including bone marrow and peripheral blood progenitor cells, intended for transplantation.
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
- 05D0643088
- Facility Type
- Blood Bank
- Certificate Effective Date
- July 27, 2025
- Certificate Expiration Date
- July 26, 2027
- Laboratory Director
- MARK EDMUNDS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to San Diego Blood Bank on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high 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 1164647954, 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 1164647954, enumerated as an "organization" on April 16, 2007.
The provider is located at 3636 GATEWAY CENTER AVE STE 100 SAN DIEGO, CA 92102 and the phone number is (619) 400-8254.
Blood Bank with taxonomy code 331L00000X.
