WELBEHEALTH SAN BERNARDINO PACE, LLC
NPI 1225839293
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in San Bernardino, CA
NPI Status: Active since March 24, 2025
Contact Information
1819 WESTERN AVE
SAN BERNARDINO, CA
ZIP 92411
Phone: (909) 898-5101
- Organization
- Program of All-Inclusive Care for the El...
- CLIA Number: 05D2315148
- CLIA Cert. Type: Other - PROG OF ALL INCLUSIVE CAR
- CLIA Exp. Date: 12-05-2026
About WELBEHEALTH SAN BERNARDINO PACE, LLC
This page provides the complete NPI Profile along with additional information for Welbehealth San Bernardino Pace, Llc, a provider established in San Bernardino, California operating as a Program Of All-inclusive Care For The Elderly (pace) Provider Organization. The healthcare provider is registered in the NPI registry with number 1225839293 assigned on March 2025. The practitioner's primary taxonomy code is 251T00000X. The provider is registered as an organization and their NPI record was last updated March 2025. The authorized official of this NPI record is Josh Niehaus (Executive Director)
- NPI
- 1225839293
- Provider Name
- WELBEHEALTH SAN BERNARDINO PACE, LLC
- Entity Type
- Organization
- Location Address
- 1819 WESTERN AVE SAN BERNARDINO, CA 92411
- Location Phone
- (909) 898-5101
- Mailing Address
- 440 N BARRANCA AVE # 4051 COVINA, CA 91723
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-24-2025
- Last Update Date
- 03-24-2025
- 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
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
- Taxonomy Code
- 251T00000X
- Type
- Agencies
- Taxonomy Description
- A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
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
- 05D2315148
- Facility Type
- Other - PROG OF ALL INCLUSIVE CAR
- Certificate Effective Date
- December 06, 2024
- Certificate Expiration Date
- December 05, 2026
- Laboratory Director
- CHAD LOWE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Welbehealth San Bernardino Pace, Llc 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 2 | 5 | 8 | 3 | 9 | 2 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 16 | 3 | 18 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 1 + 6 + 3 + 1 + 8 + 2 + 1 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1225839293 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225839293, enumerated as an "organization" on March 24, 2025.
The provider is located at 1819 WESTERN AVE SAN BERNARDINO, CA 92411 and the phone number is (909) 898-5101.
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.
