PELICAN BAY STATE PRISON
NPI 1437280153
Clinic/Center - Prison Health in Crescent City, CA
NPI Status: Active since March 07, 2007
Contact Information
5905 LAKE EARL DR
CRESCENT CITY, CA
ZIP 95532
Phone: (707) 465-1000
- Organization
- Clinic/Center
- Prison Health
- CLIA Number: 05D0890527
- CLIA Cert. Type: Prison
- CLIA Exp. Date: 06-22-2026
About PELICAN BAY STATE PRISON
This page provides the complete NPI Profile along with additional information for Pelican Bay State Prison, a provider established in Crescent City, California operating as a Clinic/center, focusing in prison health . The healthcare provider is registered in the NPI registry with number 1437280153 assigned on March 2007. The practitioner's primary taxonomy code is 261QP2400X with license number A043460 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Pelican Bay State Prison. The authorized official of this NPI record is Maureen Mclean (Health Care Manager)
- NPI
- 1437280153
- Provider Legal Name
- CDCR-PBSP
- Other Organization Name
- PELICAN BAY STATE PRISON
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 5905 LAKE EARL DR CRESCENT CITY, CA 95532
- Location Phone
- (707) 465-1000
- Mailing Address
- PO BOX 7000 CRESCENT CITY, CA 95532
- Mailing Phone
- (707) 465-1000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-07-2007
- Last Update Date
- 08-22-2020
- 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
Clinic/Center Prison Health
- Taxonomy Code
- 261QP2400X
- Type
- Ambulatory Health Care Facilities
- License No.
- A043460
- License State
- 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
- 05D0890527
- Facility Type
- Prison
- Certificate Effective Date
- June 23, 2024
- Certificate Expiration Date
- June 22, 2026
- Laboratory Director
- BAL JASDEEP
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pelican Bay State Prison to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1437280153, 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.
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 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CRESCENT CITY, CA 95532
CRESCENT CITY, CA 95532
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437280153, enumerated as an "organization" on March 07, 2007.
The provider is located at 5905 LAKE EARL DR CRESCENT CITY, CA 95532 and the phone number is (707) 465-1000.
Clinic/Center with taxonomy code 261QP2400X and a focus in Prison Health.
