FULLERTON COLLEGE
NPI 1336992379
Clinic/Center - Student Health in Fullerton, CA

NPI Status: Active since April 09, 2024

Contact Information

321 E CHAPMAN AVE
FULLERTON, CA
ZIP 92832
Phone: (714) 992-7093

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  • Organization
  • Clinic/Center
  • Student Health
  • CLIA Number: 05D0946509
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 05-26-2028

About FULLERTON COLLEGE

This page provides the complete NPI Profile along with additional information for Fullerton College, a primary care provider established in Fullerton, California operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1336992379 assigned on April 2024. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Fullerton College. The authorized official of this NPI record is Theresa Ullrich Np (Interim Director)

NPI
1336992379
Provider Legal Name
NORTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT
Other Organization Name
FULLERTON COLLEGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
321 E CHAPMAN AVE FULLERTON, CA 92832
Location Phone
(714) 992-7093
Mailing Address
321 E CHAPMAN AVE FULLERTON, CA 92832
Mailing Phone
(714) 992-7093
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-09-2024
Last Update Date
04-09-2024
Code Navigator

A primary care provider (PCP) like Fullerton College sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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 Student Health

Taxonomy Code
261QS1000X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251300000XAgencies

Local Education Agency (LEA)

 

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

THERESA ULLRICH NP

Authorized Official Title
INTERIM DIRECTOR
Authorized Official Phone
(714) 992-7094

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
05D0946509
Facility Type
School/Student Health Service
Certificate Effective Date
May 27, 2026
Certificate Expiration Date
May 26, 2028
Laboratory Director
GRAINNE A. MCEVOY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fullerton College 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.

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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 1336992379, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
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 3 → 6 9 → 18 → 9 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 6 + 6 + 1 + 8 + 9 + 4 + 3 + 1 + 4 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1336992379.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
321 E CHAPMAN AVE
FULLERTON, CA 92832
Specialist/Technologist (Athletic Trainer)
321 E CHAPMAN AVE
FULLERTON, CA 92832
Registered Nurse
321 E CHAPMAN AVE
FULLERTON, CA 92832
Nurse Practitioner (Psychiatric/Mental Health)
321 E CHAPMAN AVE
FULLERTON, CA 92832

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336992379, enumerated as an "organization" on April 09, 2024.

The provider is located at 321 E CHAPMAN AVE FULLERTON, CA 92832 and the phone number is (714) 992-7093.

Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.