COMMUNITY MEMORIAL HEALTH CENTER
NPI 1295773224
Clinic/Center - Multi-Specialty in Ventura, CA

NPI Status: Active since June 03, 2006

Contact Information

138 W MAIN ST
SUITE E
VENTURA, CA
ZIP 93001
Phone: (805) 667-2850
Fax: (805) 652-0708

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 05D0686167
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 11-25-2026

About COMMUNITY MEMORIAL HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Community Memorial Health Center, a provider established in Ventura, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1295773224 assigned on June 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Community Memorial Health Center. The authorized official of this NPI record is Mr. Mick Zdeblick (Ceo)

NPI
1295773224
Provider Legal Name
COMMUNITY MEMORIAL HEALTH SYSTEM
Other Organization Name
COMMUNITY MEMORIAL HEALTH CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
138 W MAIN ST SUITE E VENTURA, CA 93001
Location Phone
(805) 667-2850
Location Fax
(805) 652-0708
Mailing Address
5855 OLIVAS PARK DR VENTURA, CA 93003
Mailing Phone
(805) 667-2801
Mailing Fax
(805) 652-0708
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-03-2006
Last Update Date
05-28-2024
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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

MR. MICK ZDEBLICK

Authorized Official Title
CEO
Authorized Official Phone
(805) 652-5011

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
ZZT40394FMEDICAID (05)CA 

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
05D0686167
Facility Type
Hospital
Certificate Effective Date
November 26, 2024
Certificate Expiration Date
November 25, 2026
Laboratory Director
DR. THOMAS BRUGMAN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Community Memorial Health Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for COMMUNITY MEMORIAL HEALTH CENTER

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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 1295773224, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
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 9 → 18 → 9 7 → 14 → 5 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 8 + 5 + 1 + 4 + 7 + 6 + 2 + 4 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1295773224.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
138 W MAIN ST, UNIT E
VENTURA, CA 93001
Nurse Practitioner
138 W MAIN ST, SUITE E
VENTURA, CA 93001
Family Medicine
138 W MAIN ST, SUITE E
VENTURA, CA 93001
Nurse Practitioner (Family)
138 W MAIN ST, SUITE E, F, G
VENTURA, CA 93001
Physician Assistant
138 W MAIN ST, #E
VENTURA, CA 93001
Family Medicine
138 W MAIN ST, SUITE E
VENTURA, CA 93001
Family Medicine
138 W MAIN ST, SUITE E
VENTURA, CA 93001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295773224, enumerated as an "organization" on June 03, 2006.

The provider is located at 138 W MAIN ST SUITE E VENTURA, CA 93001 and the phone number is (805) 667-2850.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

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