SAN PEDRO HEALING ARTS MEDICAL CLINIC INC
NPI 1538549563
Counselor - Professional in Lake Forest, CA
NPI Status: Active since June 04, 2015
Contact Information
22706 ASPAN ST
SUITE 702
LAKE FOREST, CA
ZIP 92630
Phone: (949) 427-1013
- Organization
- Counselor
- Professional
- CLIA Number: 05D2182912
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 04-26-2026
About SAN PEDRO HEALING ARTS MEDICAL CLINIC INC
This page provides the complete NPI Profile along with additional information for San Pedro Healing Arts Medical Clinic Inc, a provider established in Lake Forest, California operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1538549563 assigned on June 2015. The practitioner's primary taxonomy code is 101YP2500X with license number PCCI 1592 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. San Pedro Healing Arts Medical Clinic Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Stephanie Fiamengo Lmft (Executive Director)
- NPI
- 1538549563
- Provider Name
- SAN PEDRO HEALING ARTS MEDICAL CLINIC INC
- Entity Type
- Organization
- Location Address
- 22706 ASPAN ST SUITE 702 LAKE FOREST, CA 92630
- Location Phone
- (949) 427-1013
- Mailing Address
- 1366 W 7TH ST SUITE 4B SAN PEDRO, CA 90732
- Mailing Phone
- (310) 547-2197
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-04-2015
- Last Update Date
- 06-04-2015
- 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
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PCCI 1592
- License State
- CA
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 05D2182912
- Facility Type
- Pharmacy
- Certificate Effective Date
- April 27, 2024
- Certificate Expiration Date
- April 26, 2026
- Laboratory Director
- FRANKLIN D. WESTHOUT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to San Pedro Healing Arts Medical Clinic Inc 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 1538549563, 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 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 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538549563, enumerated as an "organization" on June 04, 2015.
The provider is located at 22706 ASPAN ST SUITE 702 LAKE FOREST, CA 92630 and the phone number is (949) 427-1013.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
