EVANS LANE WELLNESS AND RECOVERY CENTER
NPI 1174784169
Clinic/Center - Adult Mental Health in San Jose, CA
NPI Status: Active since June 23, 2008
Contact Information
2090 EVANS LN
SAN JOSE, CA
ZIP 95125
Phone: (408) 885-5770
- Organization
- Clinic/Center
- Adult Mental Health
- CLIA Number: 05D2221745
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 04-22-2027
About EVANS LANE WELLNESS AND RECOVERY CENTER
This page provides the complete NPI Profile along with additional information for Evans Lane Wellness And Recovery Center, a provider established in San Jose, California operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1174784169 assigned on June 2008. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Evans Lane Wellness And Recovery Center. The authorized official of this NPI record is Sherri Terao (Dir, Behavioral Health Svcs)
- NPI
- 1174784169
- Provider Legal Name
- COUNTY OF SANTA CLARA
- Other Organization Name
- EVANS LANE WELLNESS AND RECOVERY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2090 EVANS LN SAN JOSE, CA 95125
- Location Phone
- (408) 885-5770
- Mailing Address
- 828 S BASCOM AVE STE 200 SAN JOSE, CA 95128
- Mailing Phone
- (408) 885-5770
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-23-2008
- Last Update Date
- 11-22-2024
- 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
Clinic/Center Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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 |
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
- 05D2221745
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- April 23, 2025
- Certificate Expiration Date
- April 22, 2027
- Laboratory Director
- MATIN FARHAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Evans Lane Wellness And Recovery Center 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 1174784169, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN JOSE, CA 95125
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174784169, enumerated as an "organization" on June 23, 2008.
The provider is located at 2090 EVANS LN SAN JOSE, CA 95125 and the phone number is (408) 885-5770.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.
