PREMIUM MENTAL HEALTH SERVICES
NPI 1467533737
Family Medicine in Modesto, CA

NPI Status: Active since October 17, 2006

Contact Information

1130 COFFEE RD STE 10
MODESTO, CA
ZIP 95355
Phone: (209) 522-9054
Fax: (209) 522-2631

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  • Organization
  • Family Medicine

About PREMIUM MENTAL HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Premium Mental Health Services, a primary care provider established in Modesto, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1467533737 assigned on October 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Premium Mental Health Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. 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 provider's is doing business as Premium Mental Health Services. The authorized official of this NPI record is Mariela Gutierrez Medical Assistant (Clinic Supervisor)

NPI
1467533737
Provider Legal Name
ASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.
Other Organization Name
PREMIUM MENTAL HEALTH SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1130 COFFEE RD STE 10 MODESTO, CA 95355
Location Phone
(209) 522-9054
Location Fax
(209) 522-2631
Mailing Address
1130 COFFEE RD STE 10 MODESTO, CA 95355
Mailing Phone
(209) 522-9054
Mailing Fax
(209) 522-2631
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2006
Last Update Date
08-13-2024
Code Navigator

A primary care provider (PCP) like Premium Mental Health Services sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 

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

MARIELA GUTIERREZ MEDICAL ASSISTANT

Authorized Official Title
CLINIC SUPERVISOR
Authorized Official Phone
(209) 522-9054

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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 1467533737, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 5 → 10 → 1 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 2 + 7 + 1 + 0 + 3 + 6 + 7 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1467533737.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1130 COFFEE RD STE 10
MODESTO, CA 95355
Clinic/Center (Urgent Care)
1130 COFFEE RD STE 10
MODESTO, CA 95355
Nurse Practitioner (Family)
1130 COFFEE RD STE 10
MODESTO, CA 95355
Psychiatry & Neurology (Psychiatry)
1130 COFFEE RD STE 10
MODESTO, CA 95355

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467533737, enumerated as an "organization" on October 17, 2006.

The provider is located at 1130 COFFEE RD STE 10 MODESTO, CA 95355 and the phone number is (209) 522-9054.

Family Medicine with taxonomy code 207Q00000X.