FOUNTAIN VALLEY REGIONAL DIALYSIS CENTER LLC
NPI 1265633747
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fountain Valley, CA

NPI Status: Active since May 30, 2007

Contact Information

17150 EUCLID AVENUE
SUITE 111
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 966-1595
Fax: (714) 966-1555

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About FOUNTAIN VALLEY REGIONAL DIALYSIS CENTER LLC

This page provides the complete NPI Profile along with additional information for Fountain Valley Regional Dialysis Center Llc, a provider established in Fountain Valley, 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 1265633747 assigned on May 2007. The practitioner's primary taxonomy code is 261QE0700X with license number 550001163 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Gadsalli Ramaswamy Ravikumar M.d. (President/ceo)

NPI
1265633747
Provider Name
FOUNTAIN VALLEY REGIONAL DIALYSIS CENTER LLC
Entity Type
Organization
Location Address
17150 EUCLID AVENUE SUITE 111 FOUNTAIN VALLEY, CA 92708
Location Phone
(714) 966-1595
Location Fax
(714) 966-1555
Mailing Address
3356 W BALL RD SUITE 216 ANAHEIM, CA 92804
Mailing Phone
(714) 226-0818
Mailing Fax
(714) 966-1555
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-30-2007
Last Update Date
11-27-2012
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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 End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
550001163
License State
CA

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.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. GADSALLI RAMASWAMY RAVIKUMAR M.D.

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(714) 226-0818

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
552630MEDICARE PIN (08)CA 

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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 1265633747, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 2 + 5 + 1 + 2 + 3 + 6 + 7 + 8 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1265633747.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265633747, enumerated as an "organization" on May 30, 2007.

The provider is located at 17150 EUCLID AVENUE SUITE 111 FOUNTAIN VALLEY, CA 92708 and the phone number is (714) 966-1595.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.