JUSTIN CLARK BOCO
NPI 1285136846
Orthotist in Redding, CA

NPI Status: Active since February 28, 2018

Contact Information

1844 SOUTH ST
REDDING, CA
ZIP 96001
Phone: (530) 243-4500
Fax: (530) 243-4554

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  • Individual
  • Male
  • Orthotist

About JUSTIN CLARK

This page provides the complete NPI Profile along with additional information for Justin Clark, a provider established in Redding, California with a medical specialization in Orthotist. The healthcare provider is registered in the NPI registry with number 1285136846 assigned on February 2018. The practitioner's primary taxonomy code is 222Z00000X. The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1285136846
Provider Name
JUSTIN CLARK BOCO
Gender
Male
Entity Type
Individual
Location Address
1844 SOUTH ST REDDING, CA 96001
Location Phone
(530) 243-4500
Location Fax
(530) 243-4554
Mailing Address
1844 SOUTH ST REDDING, CA 96001
Mailing Phone
(530) 243-4500
Mailing Fax
(530) 243-4554
Is Sole Proprietor?
No
Enumeration Date
02-28-2018
Last Update Date
03-17-2018
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Location Map

Secondary Locations

  • 1399 Montgomery Rd
    Red Bluff, CA 96080
    (530) 528-2200

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

Orthotist

Taxonomy Code
222Z00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

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.

*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
GFC000180MEDICAID (05)CA 
PG0073849001OTHER (01)CABLUE SHIELD OF CA

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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.
1285136846
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165231288
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 3 + 1 + 2 + 8 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1285136846 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 11 providers are registered at the same or nearby location.

KIRK ROSE CPO

Prosthetist

1844 SOUTH ST
REDDING, CA
ZIP 96001

(530) 243-4500

TINA ZELLER CFM

Mastectomy Fitter

1844 SOUTH ST
REDDING, CA
ZIP 96001

(530) 243-4500

JUSTIN WYNHOFF CPED

Pedorthist

1844 SOUTH ST
REDDING, CA
ZIP 96001

(530) 243-4500

HEATHER BLETCHER CFM

Mastectomy Fitter

1844 SOUTH ST
REDDING, CA
ZIP 96001

(530) 243-4500

JEFF ZELLER CP BOCPO

Prosthetist

1844 SOUTH ST
REDDING, CA
ZIP 96001

(530) 243-4500

TYLER ROWLEY CPO

Prosthetist

1844 SOUTH ST
REDDING, CA
ZIP 96001

(530) 243-4500

MATT HOFFER CFO

Orthotic Fitter

1844 SOUTH ST
REDDING, CA
ZIP 96001

(530) 243-4500

SPECTRUM PROSTHETICS & ORTHOTICS OF REDDING INC

Prosthetic/Orthotic Supplier

1844 SOUTH ST
REDDING, CA
ZIP 96001

(530) 243-4500

KATHRYN JANISZEWSKI MSOP CPO

Prosthetist

1844 SOUTH ST
REDDING, CA
ZIP 96001

(530) 243-4500

HEATHER BRING CFM

Mastectomy Fitter

1844 SOUTH ST
REDDING, CA
ZIP 96001

(530) 243-4500

MR. CADE HOLLINGSEAD CO

Orthotist

1844 SOUTH ST
REDDING, CA
ZIP 96001

(530) 243-4500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285136846, enumerated as an "individual" on February 28, 2018.

The provider is located at 1844 SOUTH ST REDDING, CA 96001 and the phone number is (530) 243-4500.

Orthotist with taxonomy code 222Z00000X.

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