ST. HELENA OB/GYN CLINIC
NPI 1376510586
Specialist in Clearlake, CA

NPI Status: Active since March 07, 2006

Contact Information

15322 LAKESHORE DR
SUITE 102
CLEARLAKE, CA
ZIP 95422
Phone: (707) 995-0193

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  • Organization
  • Specialist
  • CLIA Number: 05D0611927
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-02-2027

About ST. HELENA OB/GYN CLINIC

This page provides the complete NPI Profile along with additional information for St. Helena Ob/gyn Clinic, a provider established in Clearlake, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1376510586 assigned on March 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 6 years 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 Renee W Solomon (Medical Group Coordinator)

NPI
1376510586
Provider Name
ST. HELENA OB/GYN CLINIC
Entity Type
Organization
Location Address
15322 LAKESHORE DR SUITE 102 CLEARLAKE, CA 95422
Location Phone
(707) 995-0193
Mailing Address
15322 LAKESHORE DR SUITE 102 CLEARLAKE, CA 95422
Mailing Phone
(707) 995-0193
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2006
Last Update Date
08-22-2020
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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

RENEE W SOLOMON

Authorized Official Title
MEDICAL GROUP COORDINATOR
Authorized Official Phone
(707) 968-2870

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
05D0611927
Facility Type
Hospital
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
ANTHONY E. VICTORIO
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to St. Helena Ob/gyn Clinic 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 1376510586, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
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 7 → 14 → 5 5 → 10 → 1 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 4 + 6 + 1 + 0 + 1 + 0 + 5 + 1 + 6 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1376510586.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Family Medicine
15322 LAKESHORE DR, STE 101
CLEARLAKE, CA 95422
Family Medicine
15322 LAKESHORE DR, SUITE 101
CLEARLAKE, CA 95422
Family Medicine
15322 LAKESHORE DR, STE. 201
CLEARLAKE, CA 95422
Family Medicine
15322 LAKESHORE DR, SUITE 201
CLEARLAKE, CA 95422
Internal Medicine (Cardiovascular Disease)
15322 LAKESHORE DR, SUITE 203
CLEARLAKE, CA 95422
Obstetrics & Gynecology
15322 LAKESHORE DR
CLEARLAKE, CA 95422
Family Medicine
15322 LAKESHORE DR, SUITE 202
CLEARLAKE, CA 95422
Family Medicine
15322 LAKESHORE DR, SUITE 202
CLEARLAKE, CA 95422
Family Medicine
15322 LAKESHORE DR, SUITE 201
CLEARLAKE, CA 95422
Family Medicine
15322 LAKESHORE DR, SUITE 202
CLEARLAKE, CA 95422
Internal Medicine (Cardiovascular Disease)
15322 LAKESHORE DR, SUITE 201
CLEARLAKE, CA 95422
Surgery
15322 LAKESHORE DR, SUITE 102
CLEARLAKE, CA 95422
Surgery
15322 LAKESHORE DR, SUITE 101
CLEARLAKE, CA 95422

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376510586, enumerated as an "organization" on March 07, 2006.

The provider is located at 15322 LAKESHORE DR SUITE 102 CLEARLAKE, CA 95422 and the phone number is (707) 995-0193.

Specialist with taxonomy code 174400000X.