RAVENSWOOD FAMILY DENTISTRY
NPI 1184957771
Clinic/Center - Dental in East Palo Alto, CA
NPI Status: Active since September 14, 2009
Contact Information
1807 BAY ROAD
EAST PALO ALTO, CA
ZIP 94303
Phone: (650) 330-7407
Fax: (650) 321-1560
- Organization
- Clinic/Center
- Dental
- CLIA Number: 05D0955807
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 01-10-2027
About RAVENSWOOD FAMILY DENTISTRY
This page provides the complete NPI Profile along with additional information for Ravenswood Family Dentistry, a provider established in East Palo Alto, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1184957771 assigned on September 2009. The practitioner's primary taxonomy code is 261QD0000X with license number APPLIED FOR (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 Ravenswood Family Dentistry. The authorized official of this NPI record is Ms. Luisa M. Buada Rn, Mph (Chief Executive Officer)
- NPI
- 1184957771
- Provider Legal Name
- SOUTH COUNTY COMMUNITY HEALTH CENTER, INC.
- Other Organization Name
- RAVENSWOOD FAMILY DENTISTRY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1807 BAY ROAD EAST PALO ALTO, CA 94303
- Location Phone
- (650) 330-7407
- Location Fax
- (650) 321-1560
- Mailing Address
- 1885 BAY RD EAST PALO ALTO, CA 94303
- Mailing Phone
- (650) 330-7410
- Mailing Fax
- (650) 321-1560
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-14-2009
- Last Update Date
- 08-31-2015
- 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
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License No.
- APPLIED FOR
- License State
- CA
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 | 261QF0400X | Ambulatory Health Care Facilities | Clinic/Center | APPLIED FOR (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
- 05D0955807
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- January 11, 2025
- Certificate Expiration Date
- January 10, 2027
- Laboratory Director
- JAIME CHAVARRIA, MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Ravenswood Family Dentistry 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 1184957771, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
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 69 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184957771, enumerated as an "organization" on September 14, 2009.
The provider is located at 1807 BAY ROAD EAST PALO ALTO, CA 94303 and the phone number is (650) 330-7407.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
