STUDENT HEALTH SERVICES LBCC
NPI 1205281078
Clinic/Center - Health Service in Long Beach, CA

NPI Status: Active since April 29, 2016

Contact Information

4901 E CARSON ST
A1010
LONG BEACH, CA
ZIP 90808
Phone: (562) 938-4210
Fax: (562) 938-4994

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 05D0901797
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 12-02-2026

About STUDENT HEALTH SERVICES LBCC

This page provides the complete NPI Profile along with additional information for Student Health Services Lbcc, a provider established in Long Beach, California operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1205281078 assigned on April 2016. The practitioner's primary taxonomy code is 261QH0100X with license number 27476 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Student Health Services Lbcc. The authorized official of this NPI record is Virginia Durivage Lcsw (Director Of Student Health Sevices)

NPI
1205281078
Provider Legal Name
LONG BEACH COMMUNITY COLLEGE DISTRICT
Other Organization Name
STUDENT HEALTH SERVICES LBCC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4901 E CARSON ST A1010 LONG BEACH, CA 90808
Location Phone
(562) 938-4210
Location Fax
(562) 938-4994
Mailing Address
4901 E CARSON ST A1010 LONG BEACH, CA 90808
Mailing Phone
(562) 938-4210
Mailing Fax
(562) 938-4994
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-29-2016
Last Update Date
04-29-2016
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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
License No.
27476
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VIRGINIA DURIVAGE LCSW

Authorized Official Title
DIRECTOR OF STUDENT HEALTH SEVICES
Authorized Official Phone
(562) 938-3986

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
05D0901797
Facility Type
School/Student Health Service
Certificate Effective Date
December 03, 2024
Certificate Expiration Date
December 02, 2026
Laboratory Director
DIONISIO DABU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Student Health Services Lbcc 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 1205281078, 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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 2 → 4 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 4 + 8 + 2 + 0 + 1 + 4 + 24 = 52

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.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1205281078.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
4901 E CARSON ST
LONG BEACH, CA 90808
Nurse Practitioner (Family)
4901 E CARSON ST, A1010
LONG BEACH, CA 90808
Specialist/Technologist (Athletic Trainer)
4901 E CARSON ST
LONG BEACH, CA 90808
Specialist/Technologist (Athletic Trainer)
4901 E CARSON ST
LONG BEACH, CA 90808
Specialist/Technologist (Athletic Trainer)
4901 E CARSON ST
LONG BEACH, CA 90808
Registered Nurse
4901 E CARSON ST, R19
LONG BEACH, CA 90808

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205281078, enumerated as an "organization" on April 29, 2016.

The provider is located at 4901 E CARSON ST A1010 LONG BEACH, CA 90808 and the phone number is (562) 938-4210.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.