RAI-GARDEN GROVE-GARDEN GROVE
NPI 1235202961
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Garden Grove, CA
NPI Status: Active since November 17, 2006
Contact Information
12555 GARDEN GROVE BLVD
SUITE 100
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 741-7255
Fax: (714) 741-2029
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 05D0690217
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 08-31-2026
About RAI-GARDEN GROVE-GARDEN GROVE
This page provides the complete NPI Profile along with additional information for Rai-garden Grove-garden Grove, a provider established in Garden Grove, California operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1235202961 assigned on November 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's other name is Rai-garden Grove-garden Grove. The authorized official of this NPI record is Mr. Mark R Fawcett (Treasurer)
- NPI
- 1235202961
- Provider Legal Name
- RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC
- Other Organization Name
- RAI-GARDEN GROVE-GARDEN GROVE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 12555 GARDEN GROVE BLVD SUITE 100 GARDEN GROVE, CA 92843
- Location Phone
- (714) 741-7255
- Location Fax
- (714) 741-2029
- Mailing Address
- 12555 GARDEN GROVE BLVD SUITE100 GARDEN GROVE, CA 92843
- Mailing Phone
- (714) 741-7255
- Mailing Fax
- (714) 741-2029
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-17-2006
- Last Update Date
- 07-27-2012
- 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 End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZR0209Z | OTHER (01) | CA | BLUE SHIELD OF CALIFORNIA |
| 052617 | MEDICARE ID-TYPE UNSPECIFIED (04) | CA | |
| =========-04 | OTHER (01) | CA | KAISER |
| CDC02617G | MEDICAID (05) | CA | |
| 052617 | OTHER (01) | CA | BLUE CROSS OF CALIFORNIA |
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
- 05D0690217
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- HONG S. KIM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Rai-garden Grove-garden Grove 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 1235202961, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235202961, enumerated as an "organization" on November 17, 2006.
The provider is located at 12555 GARDEN GROVE BLVD SUITE 100 GARDEN GROVE, CA 92843 and the phone number is (714) 741-7255.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.
