HIGH DESERT NEPHROLOGY MEDICAL ASSOCIATES, INC.
NPI 1508196759
Internal Medicine - Nephrology in Barstow, CA

NPI Status: Active since January 12, 2010

Contact Information

655 S. 7TH AVE.
BARSTOW, CA
ZIP 92311
Phone: (760) 256-3918
Fax: (760) 256-5217

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  • Organization
  • Internal Medicine
  • Nephrology
  • CLIA Number: 05D0574648
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-31-2025

About HIGH DESERT NEPHROLOGY MEDICAL ASSOCIATES, INC.

This page provides the complete NPI Profile along with additional information for High Desert Nephrology Medical Associates, Inc., an internist established in Barstow, California operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1508196759 assigned on January 2010. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated 15 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 Jay Eriah Shankar M.d. (Owner/medical Director)

NPI
1508196759
Provider Name
HIGH DESERT NEPHROLOGY MEDICAL ASSOCIATES, INC.
Entity Type
Organization
Location Address
655 S. 7TH AVE. BARSTOW, CA 92311
Location Phone
(760) 256-3918
Location Fax
(760) 256-5217
Mailing Address
12675 HESPERIA RD. VICTORVILLE, CA 92395
Mailing Phone
(760) 241-3306
Mailing Fax
(760) 256-5217
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-12-2010
Last Update Date
02-23-2011
Code Navigator

An internist like High Desert Nephrology Medical Associates, Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
License State
CA
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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.

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

JAY ERIAH SHANKAR M.D.

Authorized Official Title
OWNER/MEDICAL DIRECTOR
Authorized Official Phone
(760) 241-3306

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
ZZZ26953ZMEDICARE UPIN (02) 
1508196759MEDICAID (05)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
05D0574648
Facility Type
Physician Office
Certificate Effective Date
July 26, 2022
Certificate Expiration Date
October 31, 2025
Laboratory Director
FRED F. SOEPRONO MD
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to High Desert Nephrology Medical Associates, Inc. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 1508196759, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 2 + 9 + 1 + 2 + 7 + 1 + 0 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1508196759.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508196759, enumerated as an "organization" on January 12, 2010.

The provider is located at 655 S. 7TH AVE. BARSTOW, CA 92311 and the phone number is (760) 256-3918.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

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