STANISLAUS COUNTY HEALTH SERVICES AGENCY PARADISE MEDICAL OFFICE
NPI 1396941464
Clinic/Center in Modesto, CA

NPI Status: Active since June 25, 2007

Contact Information

401 PARADISE RD
SUITE E
MODESTO, CA
ZIP 95351
Phone: (209) 558-4000
Fax: (209) 558-8611

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  • Organization
  • Clinic/Center
  • CLIA Number: 05D0997687
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-24-2026

About STANISLAUS COUNTY HEALTH SERVICES AGENCY PARADISE MEDICAL OFFICE

This page provides the complete NPI Profile along with additional information for Stanislaus County Health Services Agency Paradise Medical Office, a provider established in Modesto, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1396941464 assigned on June 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Stanislaus County Health Services Agency Paradise Medical Office. The authorized official of this NPI record is Mary Ann Lee (Managing Director)

NPI
1396941464
Provider Legal Name
COUNTY OF STANISLAUS
Other Organization Name
STANISLAUS COUNTY HEALTH SERVICES AGENCY PARADISE MEDICAL OFFICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
401 PARADISE RD SUITE E MODESTO, CA 95351
Location Phone
(209) 558-4000
Location Fax
(209) 558-8611
Mailing Address
401 PARADISE RD SUITE E MODESTO, CA 95351
Mailing Phone
(209) 558-4000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2007
Last Update Date
10-03-2024
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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.

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

MARY ANN LEE

Authorized Official Title
MANAGING DIRECTOR
Authorized Official Phone
(209) 558-7163

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
EXE70074FOTHER (01)CAMEDICAL
HAP70074FOTHER (01)CAFAMILY PACT
FHC70074FOTHER (01)MEDICAL

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
05D0997687
Facility Type
Community Clinic
Certificate Effective Date
March 25, 2024
Certificate Expiration Date
March 24, 2026
Laboratory Director
JOSE ALBERTO, MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Stanislaus County Health Services Agency Paradise Medical Office 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 1396941464, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
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 9 → 18 → 9 1 → 2 6 → 12 → 3

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 + 8 + 4 + 2 + 4 + 1 + 2 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1396941464.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
401 PARADISE RD, SUITE E
MODESTO, CA 95351
Pharmacist
401 PARADISE RD
MODESTO, CA 95351
Family Medicine
401 PARADISE RD, SUITE E
MODESTO, CA 95351
Family Medicine
401 PARADISE RD, SUITE E
MODESTO, CA 95351
Pharmacist
401 PARADISE RD
MODESTO, CA 95351
Pharmacist
401 PARADISE RD
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD
MODESTO, CA 95351
Community/Behavioral Health
401 PARADISE RD
MODESTO, CA 95351
Community/Behavioral Health
401 PARADISE RD
MODESTO, CA 95351
Family Medicine
401 PARADISE RD
MODESTO, CA 95351
Family Medicine
401 PARADISE RD, SUITE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD, SUITE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD, SUITE E
MODESTO, CA 95351
Student in an Organized Health Care Education/Training Program
401 PARADISE RD, SITE E
MODESTO, CA 95351
Family Medicine
401 PARADISE RD, STE E
MODESTO, CA 95351
Pharmacist
401 PARADISE RD
MODESTO, CA 95351
Emergency Medicine
401 PARADISE RD, #E
MODESTO, CA 95351
Physician Assistant (Medical)
401 PARADISE RD
MODESTO, CA 95351
Family Medicine
401 PARADISE RD
MODESTO, CA 95351

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396941464, enumerated as an "organization" on June 25, 2007.

The provider is located at 401 PARADISE RD SUITE E MODESTO, CA 95351 and the phone number is (209) 558-4000.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.