KAISER PERMANENTE
NPI 1265639660
Clinic/Center - Mental Health (Including Community Mental Health Center) in Moreno Valley, CA

NPI Status: Active since June 28, 2007

Contact Information

12815 HEACOCK ST
MORENO VALLEY, CA
ZIP 92553
Phone: (051) 601-6174
Fax: (951) 601-6224

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About KAISER PERMANENTE

This page provides the complete NPI Profile along with additional information for Kaiser Permanente, a provider established in Moreno Valley, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1265639660 assigned on June 2007. The practitioner's primary taxonomy code is 261QM0801X with license number MFC17474 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Roger Jackson Melton L.m.f.t. (Counselor Iii)

NPI
1265639660
Provider Name
KAISER PERMANENTE
Entity Type
Organization
Location Address
12815 HEACOCK ST MORENO VALLEY, CA 92553
Location Phone
(051) 601-6174
Location Fax
(951) 601-6224
Mailing Address
12815 HEACOCK ST MORENO VALLEY, CA 92553
Mailing Phone
(051) 601-6174
Mailing Fax
(951) 601-6224
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2007
Last Update Date
08-22-2020
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
MFC17474
License State
CA

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

MR. ROGER JACKSON MELTON L.M.F.T.

Authorized Official Title
COUNSELOR III
Authorized Official Phone
(951) 601-6171

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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 1265639660, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
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 9 → 18 → 9 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 + 2 + 5 + 1 + 2 + 3 + 1 + 8 + 6 + 1 + 2 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1265639660.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Registered Nurse (Case Management)
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Social Worker (Clinical)
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Counselor (Addiction (Substance Use Disorder))
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Internal Medicine
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Pharmacist
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Pharmacist
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Pharmacist
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Pharmacist
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Pharmacist
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Marriage & Family Therapist
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Marriage & Family Therapist
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Marriage & Family Therapist
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Family Medicine
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Family Medicine
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Pediatrics
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Family Medicine
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Family Medicine
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Social Worker
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Family Medicine
12815 HEACOCK ST
MORENO VALLEY, CA 92553
Student in an Organized Health Care Education/Training Program
12815 HEACOCK ST
MORENO VALLEY, CA 92553

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265639660, enumerated as an "organization" on June 28, 2007.

The provider is located at 12815 HEACOCK ST MORENO VALLEY, CA 92553 and the phone number is (051) 601-6174.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).