SAN JOAQUIN COUNTY PUBLIC HEALTH WAIVER
NPI 1215070636
Public Health or Welfare in Stockton, CA

NPI Status: Active since February 15, 2007

Contact Information

1601 E HAZELTON AVE
STOCKTON, CA
ZIP 95205
Phone: (209) 468-3413
Fax: (209) 468-3072

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Public Health or Welfare
CLIA Number: 05D0643989
CLIA Cert. Type: Public Health Laboratories
CLIA Exp. Date: 02-21-2027

About SAN JOAQUIN COUNTY PUBLIC HEALTH WAIVER

This page provides the complete NPI Profile along with additional information for San Joaquin County Public Health Waiver, a provider established in Stockton, California operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1215070636 assigned on February 2007. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. William Mitchell Mph (Director Public Health Services)

NPI: 1215070636
Provider Name: SAN JOAQUIN COUNTY PUBLIC HEALTH WAIVER
Entity Type: Organization
Location Address: 1601 E HAZELTON AVE STOCKTON, CA 95205
Location Phone: (209) 468-3413
Location Fax: (209) 468-3072
Mailing Address: PO BOX 2009 STOCKTON, CA 95201
Mailing Phone: (209) 468-3413
Mailing Fax: (209) 468-3072
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-15-2007
Last Update Date: 08-22-2020
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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: Public Health or Welfare
Taxonomy Code: 251K00000X
Type: Agencies

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: MR. WILLIAM MITCHELL MPH
Authorized Official Title: DIRECTOR PUBLIC HEALTH SERVICES
Authorized Official Phone: (209) 468-3413

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: 05D0643989
Facility Type: Public Health Laboratories
Certificate Effective Date: February 22, 2025
Certificate Expiration Date: February 21, 2027
Laboratory Director: HARMEET KAUR
Certificate Type: Certificate of Compliance
Certificate Type Description: This CLIA certificate is issued to San Joaquin County Public Health Waiver after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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 1215070636, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 0

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 6

Check

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 1 → 2 0 → 0 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 0 + 7 + 0 + 6 + 6 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6

This NPI is valid

The calculated check digit is 6, which matches the last digit of 1215070636.