EVERSIDE HEALTH REEP
NPI 1396512406
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Murrieta, CA

NPI Status: Active since December 08, 2023

Contact Information

25395 HANCOCK AVE STE 200
MURRIETA, CA
ZIP 92562
Phone: (704) 661-1380

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  • Organization
  • Preventive Medicine
  • Preventive Medicine/Occupational Environ...
  • CLIA Number: 52D2060045
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-07-2028

About EVERSIDE HEALTH REEP

This page provides the complete NPI Profile along with additional information for Everside Health Reep, a provider established in Murrieta, California operating as a Preventive Medicine, focusing in preventive medicine/occupational environmental medicine . The healthcare provider is registered in the NPI registry with number 1396512406 assigned on December 2023. The practitioner's primary taxonomy code is 2083P0500X. The provider is registered as an organization and their NPI record was last updated 3 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 Jill Johnson Patton (Director Of Risk Management)

NPI
1396512406
Provider Name
EVERSIDE HEALTH REEP
Entity Type
Organization
Location Address
25395 HANCOCK AVE STE 200 MURRIETA, CA 92562
Location Phone
(704) 661-1380
Mailing Address
1400 WEWATTA ST STE 350 DENVER, CO 80202
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-08-2023
Last Update Date
12-08-2023
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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

Preventive Medicine Preventive Medicine/Occupational Environmental Medicine

Taxonomy Code
2083P0500X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

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

JILL JOHNSON PATTON

Authorized Official Title
DIRECTOR OF RISK MANAGEMENT
Authorized Official Phone
(704) 936-5546

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
52D2060045
Facility Type
Physician Office
Certificate Effective Date
May 08, 2026
Certificate Expiration Date
May 07, 2028
Laboratory Director
DR. KEVIN D. IZARD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Everside Health Reep 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 1396512406, 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
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
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 9 → 18 → 9 5 → 10 → 1 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 8 + 6 + 1 + 0 + 1 + 4 + 4 + 0 + 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 1396512406.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physician Assistant
25395 HANCOCK AVE STE 200
MURRIETA, CA 92562

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396512406, enumerated as an "organization" on December 08, 2023.

The provider is located at 25395 HANCOCK AVE STE 200 MURRIETA, CA 92562 and the phone number is (704) 661-1380.

Preventive Medicine with taxonomy code 2083P0500X and a focus in Preventive Medicine/Occupational Environmental Medicine.