LA JOLLA REHAB LLC
NPI 1255174264
Clinic/Center - Rehabilitation, Substance Use Disorder in San Diego, CA

NPI Status: Active since June 17, 2024

Contact Information

5755 OBERLIN DR STE 200
SAN DIEGO, CA
ZIP 92121
Phone: (310) 343-8684

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 05D2308224
  • CLIA Cert. Type: Other - RESIDENTIAL DRUG TREAT CT
  • CLIA Exp. Date: 07-22-2026

About LA JOLLA REHAB LLC

This page provides the complete NPI Profile along with additional information for La Jolla Rehab Llc, a provider established in San Diego, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1255174264 assigned on June 2024. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Shaina Donner (Owner)

NPI
1255174264
Provider Name
LA JOLLA REHAB LLC
Entity Type
Organization
Location Address
5755 OBERLIN DR STE 200 SAN DIEGO, CA 92121
Location Phone
(310) 343-8684
Mailing Address
5755 OBERLIN DR STE 200 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-17-2024
Last Update Date
06-21-2024
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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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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

SHAINA DONNER

Authorized Official Title
OWNER
Authorized Official Phone
(310) 343-8684

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
05D2308224
Facility Type
Other - RESIDENTIAL DRUG TREAT CT
Certificate Effective Date
July 23, 2024
Certificate Expiration Date
July 22, 2026
Laboratory Director
SYDNEY ABRAMSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to La Jolla Rehab 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 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 1255174264, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
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 5 → 10 → 1 1 → 2 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 2 + 7 + 8 + 2 + 1 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1255174264.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255174264, enumerated as an "organization" on June 17, 2024.

The provider is located at 5755 OBERLIN DR STE 200 SAN DIEGO, CA 92121 and the phone number is (310) 343-8684.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.