WELLNESS FAMILY MEDICINE, PC
NPI 1194484600
Clinic/Center - Health Service in Redding, CA
NPI Status: Active since December 12, 2021
Contact Information
760 CYPRESS AVE STE 300
REDDING, CA
ZIP 96001
Phone: (530) 768-9490
Fax: (530) 653-2150
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 05D2275412
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-19-2027
About WELLNESS FAMILY MEDICINE, PC
This page provides the complete NPI Profile along with additional information for Wellness Family Medicine, Pc, a provider established in Redding, California operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1194484600 assigned on December 2021. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is Covid Antibody Treatment Clinic. The authorized official of this NPI record is Gretchen Melburg (Chief Financial Officer)
- NPI
- 1194484600
- Provider Legal Name
- WELLNESS FAMILY MEDICINE, PC
- Other Organization Name
- COVID ANTIBODY TREATMENT CLINIC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 760 CYPRESS AVE STE 300 REDDING, CA 96001
- Location Phone
- (530) 768-9490
- Location Fax
- (530) 653-2150
- Mailing Address
- 1674 EL CAPITAN DR REDDING, CA 96001
- Mailing Phone
- (530) 768-9490
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-12-2021
- Last Update Date
- 02-16-2023
- 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 Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
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 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 05D2275412
- Facility Type
- Physician Office
- Certificate Effective Date
- January 20, 2025
- Certificate Expiration Date
- January 19, 2027
- Laboratory Director
- PAUL DAVIS
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Wellness Family Medicine, Pc 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 1194484600, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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 70 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194484600, enumerated as an "organization" on December 12, 2021.
The provider is located at 760 CYPRESS AVE STE 300 REDDING, CA 96001 and the phone number is (530) 768-9490.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
