PROVIDENCE TRINITYCARE HOSPICE
NPI 1366034423
Family Medicine - Hospice and Palliative Medicine in Torrance, CA

NPI Status: Active since February 09, 2021

Contact Information

5315 TORRANCE BLVD STE B1
TORRANCE, CA
ZIP 90503
Phone: (310) 543-3400
Fax: (310) 543-3437

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  • Organization
  • Family Medicine
  • Hospice and Palliative Medicine
  • CLIA Number: 05D0684333
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 06-24-2027

About PROVIDENCE TRINITYCARE HOSPICE

This page provides the complete NPI Profile along with additional information for Providence Trinitycare Hospice, a provider established in Torrance, California operating as a Family Medicine, focusing in hospice and palliative medicine . The healthcare provider is registered in the NPI registry with number 1366034423 assigned on February 2021. The practitioner's primary taxonomy code is 207QH0002X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary For Enrollment)

NPI
1366034423
Provider Name
PROVIDENCE TRINITYCARE HOSPICE
Entity Type
Organization
Location Address
5315 TORRANCE BLVD STE B1 TORRANCE, CA 90503
Location Phone
(310) 543-3400
Location Fax
(310) 543-3437
Mailing Address
5315 TORRANCE BLVD STE B1 TORRANCE, CA 90503
Mailing Phone
(310) 543-3400
Mailing Fax
(310) 543-3437
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-09-2021
Last Update Date
05-16-2025
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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

Family Medicine Hospice and Palliative Medicine

Taxonomy Code
207QH0002X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

DONALD WAYNE ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY FOR ENROLLMENT
Authorized Official Phone
(425) 358-9786

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
05D0684333
Facility Type
Hospital
Certificate Effective Date
June 25, 2025
Certificate Expiration Date
June 24, 2027
Laboratory Director
COLE LIBERATOR
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Providence Trinitycare Hospice 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.

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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 1366034423, 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
3
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 6 → 12 → 3 0 → 0 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 2 + 6 + 0 + 3 + 8 + 4 + 4 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1366034423.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
5315 TORRANCE BLVD STE B1
TORRANCE, CA 90503
Nurse Practitioner (Family)
5315 TORRANCE BLVD STE B1
TORRANCE, CA 90503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366034423, enumerated as an "organization" on February 09, 2021.

The provider is located at 5315 TORRANCE BLVD STE B1 TORRANCE, CA 90503 and the phone number is (310) 543-3400.

Family Medicine with taxonomy code 207QH0002X and a focus in Hospice and Palliative Medicine.