EVERSIDE HEALTH CA IRONWORKERS-CHULA VISTA
NPI 1245016906
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Chula Vista, CA
NPI Status: Active since September 07, 2023
Contact Information
340 4TH AVE STE 14
CHULA VISTA, CA
ZIP 91910
Phone: (704) 661-1380
- Organization
- Preventive Medicine
- Preventive Medicine/Occupational Environ...
- CLIA Number: 05D2294659
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-27-2025
About EVERSIDE HEALTH CA IRONWORKERS-CHULA VISTA
This page provides the complete NPI Profile along with additional information for Everside Health Ca Ironworkers-chula Vista, a provider established in Chula Vista, California operating as a Preventive Medicine, focusing in preventive medicine/occupational environmental medicine . The healthcare provider is registered in the NPI registry with number 1245016906 assigned on September 2023. The practitioner's primary taxonomy code is 2083P0500X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Karla Spivey (Central Support Specialist)
- NPI
- 1245016906
- Provider Name
- EVERSIDE HEALTH CA IRONWORKERS-CHULA VISTA
- Entity Type
- Organization
- Location Address
- 340 4TH AVE STE 14 CHULA VISTA, CA 91910
- Location Phone
- (704) 661-1380
- Mailing Address
- 10 W MARKET ST STE 2900 INDIANAPOLIS, IN 46204
- Mailing Phone
- (317) 869-3164
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-07-2023
- Last Update Date
- 10-24-2024
- 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
Preventive Medicine Preventive Medicine/Occupational Environmental Medicine
- Taxonomy Code
- 2083P0500X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
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
- 05D2294659
- Facility Type
- Physician Office
- Certificate Effective Date
- November 28, 2023
- Certificate Expiration Date
- November 27, 2025
- Laboratory Director
- JOHN LANDSBERG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Everside Health Ca Ironworkers-chula Vista 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 | 4 | 5 | 0 | 1 | 6 | 9 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 0 | 1 | 12 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 0 + 1 + 1 + 2 + 9 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1245016906 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
DR. NELDA V. ORDONEZ M.D.
General Practice
340 4TH AVE STE 14
CHULA VISTA, CA
ZIP 91910
MR. DOMINIC DALATEN LOMIBAO FNP-C
Nurse Practitioner
340 4TH AVE STE 14
CHULA VISTA, CA
ZIP 91910
STEIN DERMATOLOGY A PROFESSIONAL CORPORATION
Dermatology
340 4TH AVE STE 14
CHULA VISTA, CA
ZIP 91910
SARA R PONCE FNP-BC
Nurse Practitioner
(Family)
340 4TH AVE STE 14
CHULA VISTA, CA
ZIP 91910
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245016906, enumerated as an "organization" on September 07, 2023.
The provider is located at 340 4TH AVE STE 14 CHULA VISTA, CA 91910 and the phone number is (704) 661-1380.
Preventive Medicine with taxonomy code 2083P0500X and a focus in Preventive Medicine/Occupational Environmental Medicine.
