SOUTH BAY IMPACT
NPI 1326551490
Community/Behavioral Health in Chula Vista, CA

NPI Status: Active since November 13, 2017

Contact Information

855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
Phone: (619) 934-5770

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  • Organization
  • Community/Behavioral Health
  • CLIA Number: 05D2215838
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 03-07-2027

About SOUTH BAY IMPACT

This page provides the complete NPI Profile along with additional information for South Bay Impact, a provider established in Chula Vista, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1326551490 assigned on November 2017. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as South Bay Impact. The authorized official of this NPI record is Jack Farmer (Chief Administrative Officer)

NPI
1326551490
Provider Legal Name
COMMUNITY RESEARCH FOUNDATION, INC.
Other Organization Name
SOUTH BAY IMPACT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
855 3RD AVE STE 1110 CHULA VISTA, CA 91911
Location Phone
(619) 934-5770
Mailing Address
1202 MORENA BLVD SAN DIEGO, CA 92110
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2017
Last Update Date
12-05-2022
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

JACK FARMER

Authorized Official Title
CHIEF ADMINISTRATIVE OFFICER
Authorized Official Phone
(619) 275-0822

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
37RRMEDICAID (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
05D2215838
Facility Type
Pharmacy
Certificate Effective Date
March 08, 2025
Certificate Expiration Date
March 07, 2027
Laboratory Director
JOLAGH HALA PIC
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to South Bay Impact 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.

Reviews for SOUTH BAY IMPACT

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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 1326551490, 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
3
Unchanged
Pos 3
2
Doubled → 4
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 2 → 4 5 → 10 → 1 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 4 + 6 + 1 + 0 + 5 + 2 + 4 + 1 + 8 + 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 1326551490.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Marriage & Family Therapist
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Registered Nurse (Psychiatric/Mental Health, Adult)
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Case Manager/Care Coordinator
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Counselor (Mental Health)
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Case Manager/Care Coordinator
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Case Manager/Care Coordinator
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Case Manager/Care Coordinator
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Case Manager/Care Coordinator
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Counselor (Mental Health)
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Case Manager/Care Coordinator
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Psychiatry & Neurology (Psychiatry)
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Counselor (Mental Health)
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Behavior Technician
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Counselor (Mental Health)
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Counselor (Mental Health)
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Counselor (Mental Health)
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Registered Nurse
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Case Manager/Care Coordinator
855 3RD AVE STE 1110
CHULA VISTA, CA 91911
Registered Nurse
855 3RD AVE STE 1110
CHULA VISTA, CA 91911

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326551490, enumerated as an "organization" on November 13, 2017.

The provider is located at 855 3RD AVE STE 1110 CHULA VISTA, CA 91911 and the phone number is (619) 934-5770.

Community/Behavioral Health with taxonomy code 251S00000X.

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