NORTHBAY HEALTH AT HOME
NPI 1356333793
Home Health in Fairfield, CA
NPI Status: Active since August 22, 2005
Contact Information
4520 BUSINESS CENTER DRIVE
SUITE 160
FAIRFIELD, CA
ZIP 94534
Phone: (707) 646-3575
Fax: (707) 646-3576
- Organization
- Home Health
- CLIA Number: 05D1020061
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-03-2027
About NORTHBAY HEALTH AT HOME
This page provides the complete NPI Profile along with additional information for Northbay Health At Home, a provider established in Fairfield, California operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1356333793 assigned on August 2005. The practitioner's primary taxonomy code is 251E00000X with license number 010000037 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's other name is Northbay Health At Home. The authorized official of this NPI record is Mrs. Aimee Brewer (Ambulatory Division President)
- NPI
- 1356333793
- Provider Legal Name
- NORTHBAY HEALTHCARE GROUP
- Other Organization Name
- NORTHBAY HEALTH AT HOME
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 4520 BUSINESS CENTER DRIVE SUITE 160 FAIRFIELD, CA 94534
- Location Phone
- (707) 646-3575
- Location Fax
- (707) 646-3576
- Mailing Address
- 4500 BUSINESS CENTER DR FAIRFIELD, CA 94534
- Mailing Phone
- (707) 646-3575
- Mailing Fax
- (707) 646-3576
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-22-2005
- Last Update Date
- 11-09-2015
- Code Navigator
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
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- License No.
- 010000037
- License State
- CA
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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.
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 |
|---|---|---|---|
| ZZR07219F | MEDICAID (05) | CA | |
| 057219 | MEDICARE OSCAR/CERTIFICATION (06) | 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
- 05D1020061
- Facility Type
- Physician Office
- Certificate Effective Date
- April 04, 2025
- Certificate Expiration Date
- April 03, 2027
- Laboratory Director
- EHSAN GHODS, DO
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Northbay Health At Home in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1356333793, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
FAIRFIELD, CA 94534
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356333793, enumerated as an "organization" on August 22, 2005.
The provider is located at 4520 BUSINESS CENTER DRIVE SUITE 160 FAIRFIELD, CA 94534 and the phone number is (707) 646-3575.
Home Health with taxonomy code 251E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
