LEDONTRAE GOODEN NPI 1528607272

Driver in Sacramento, CA

NPI 1528607272 Individual Male Driver

NPI Profile for LEDONTRAE GOODEN

Ledontrae Gooden is a provider established in Sacramento, California and his medical specialization is driver. The NPI number of Ledontrae Gooden is 1528607272 and was assigned on December 2019. The practitioner's primary taxonomy code is 172A00000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

Ledontrae Gooden is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1528607272

Provider Name LEDONTRAE GOODEN
Provider Location Address7300 FRANKLIN BLVD SACRAMENTO, CA 95823
Provider Mailing Address11146 VANCE JACKSON RD APT 1315 SAN ANTONIO, TX 78230
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date12-28-2019
Last Update Date12-28-2019


Primary Taxonomy

Taxonomy Code172A00000X
ClassificationDriver
TypeOther Service Providers
Taxonomy DescriptionA person employed to operate a motor vehicle as a carrier of persons or property.

Business Address

LEDONTRAE GOODEN
7300 FRANKLIN BLVD
SACRAMENTO, CA
ZIP 95823
Phone: (916) 385-1006

Get Directions


Mailing Address

LEDONTRAE GOODEN
11146 VANCE JACKSON RD APT 1315
SAN ANTONIO, TX
ZIP 78230
Phone:



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
NONEOTHER (01)NONE

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1528607272
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254812014214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 1 + 2 + 0 + 1 + 4 + 2 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1528607272 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518009067DR. SIRAK YARED WORKNEH DDS
Individual
Dentist7300 FRANKLIN BLVD SUITE 104
SACRAMENTO, CA 95823
(916) 428-4325

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Ledontrae Gooden is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.