PROVIDENCE SAINT JOHNS HEALTH CID
NPI 1184750168
Community/Behavioral Health in Santa Monica, CA
NPI Status: Active since February 26, 2007
Contact Information
1339 20TH ST
SANTA MONICA, CA
ZIP 90404
Phone: (310) 829-8921
Fax: (310) 829-8455
- Organization
- Community/Behavioral Health
- CLIA Number: 05D2205015
- CLIA Cert. Type: Other - NOT SPECIFIED
- CLIA Exp. Date: 12-10-2026
About PROVIDENCE SAINT JOHNS HEALTH CID
This page provides the complete NPI Profile along with additional information for Providence Saint Johns Health Cid, a provider established in Santa Monica, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1184750168 assigned on February 2007. The practitioner's primary taxonomy code is 251S00000X with license number 569538 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Providence Saint Johns Health Cid. The authorized official of this NPI record is Mrs. Ruth Canas Lcsw (Outpatient Director)
- NPI
- 1184750168
- Provider Legal Name
- PROVIDENCE SAINT JOHN'S HEALTH CENTER
- Other Organization Name
- PROVIDENCE SAINT JOHNS HEALTH CID
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1339 20TH ST SANTA MONICA, CA 90404
- Location Phone
- (310) 829-8921
- Location Fax
- (310) 829-8455
- Mailing Address
- 1339 20TH ST SANTA MONICA, CA 90404
- Mailing Phone
- (310) 829-8921
- Mailing Fax
- (310) 829-8455
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-26-2007
- Last Update Date
- 04-21-2016
- 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/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 569538
- License State
- CA
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000006792 | MEDICAID (05) | 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
- 05D2205015
- Facility Type
- Other - NOT SPECIFIED
- Certificate Effective Date
- December 11, 2024
- Certificate Expiration Date
- December 10, 2026
- Laboratory Director
- MARK R. NEEDHAM
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Providence Saint Johns Health Cid in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1184750168, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
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 52 is 60. 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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184750168, enumerated as an "organization" on February 26, 2007.
The provider is located at 1339 20TH ST SANTA MONICA, CA 90404 and the phone number is (310) 829-8921.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
