DIGNITY HEALTH MEDICAL FOUNDATION - EL DORADO HILLS
NPI 1497180632
Non-Pharmacy Dispensing Site in El Dorado Hills, CA
NPI Status: Active since September 06, 2013
Contact Information
1264 HAWKS FLIGHT CT
SUITE 100
EL DORADO HILLS, CA
ZIP 95762
Phone: (916) 939-8400
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 05D2065999
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-23-2026
About DIGNITY HEALTH MEDICAL FOUNDATION - EL DORADO HILLS
This page provides the complete NPI Profile along with additional information for Dignity Health Medical Foundation - El Dorado Hills, a provider established in El Dorado Hills, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1497180632 assigned on September 2013. The practitioner's primary taxonomy code is 332900000X with license number A96435 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Dignity Health Medical Foundation - El Dorado Hills. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)
- NPI
- 1497180632
- Provider Legal Name
- DIGNITY HEALTH MEDICAL FOUNDATION
- Other Organization Name
- DIGNITY HEALTH MEDICAL FOUNDATION - EL DORADO HILLS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1264 HAWKS FLIGHT CT SUITE 100 EL DORADO HILLS, CA 95762
- Location Phone
- (916) 939-8400
- Mailing Address
- 5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-06-2013
- Last Update Date
- 11-18-2020
- 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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- A96435
- License State
- CA
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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
- 05D2065999
- Facility Type
- Physician Office
- Certificate Effective Date
- March 24, 2024
- Certificate Expiration Date
- March 23, 2026
- Laboratory Director
- CHRISTOPHER OLSON, MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Dignity Health Medical Foundation - El Dorado Hills 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 1 | 8 | 0 | 6 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 2 | 8 | 0 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 2 + 8 + 0 + 6 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1497180632 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
CHRISTOPHER RYAN OLSON MD
Family Medicine
1264 HAWKS FLIGHT CT
SUITE 100
EL DORADO HILLS, CA
ZIP 95762
JASON KEVIN DEITCHMAN M.D.
Family Medicine
1264 HAWKS FLIGHT CT
SUITE 100
EL DORADO HILLS, CA
ZIP 95762
MARY ANN NAU JOHNSON MD
Dermatology
1264 HAWKS FLIGHT CT
SUITE 100
EL DORADO HILLS, CA
ZIP 95762
DR. WING-YAN CINDY YUEN M.D.
Family Medicine
1264 HAWKS FLIGHT CT
EL DORADO HILLS, CA
ZIP 95762
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497180632, enumerated as an "organization" on September 06, 2013.
The provider is located at 1264 HAWKS FLIGHT CT SUITE 100 EL DORADO HILLS, CA 95762 and the phone number is (916) 939-8400.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
