JACARANDA COMMUNITY URGENT CARE
NPI 1578929113
Clinic/Center - Urgent Care in Hesperia, CA
NPI Status: Active since January 12, 2016
Contact Information
12021 JACARANDA AVE
SUITE #100
HESPERIA, CA
ZIP 92345
Phone: (760) 956-2636
Fax: (760) 948-2179
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 05D2117743
- CLIA Cert. Type: Other - URGENT CARE
- CLIA Exp. Date: 08-22-2026
About JACARANDA COMMUNITY URGENT CARE
This page provides the complete NPI Profile along with additional information for Jacaranda Community Urgent Care, a provider established in Hesperia, California operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1578929113 assigned on January 2016. The practitioner's primary taxonomy code is 261QU0200X with license number G66379 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Jacaranda Community Urgent Care. The authorized official of this NPI record is Dr. Arlene F Braham M.d. (President)
- NPI
- 1578929113
- Provider Legal Name
- ABRAHAM WILSON INC
- Other Organization Name
- JACARANDA COMMUNITY URGENT CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12021 JACARANDA AVE SUITE #100 HESPERIA, CA 92345
- Location Phone
- (760) 956-2636
- Location Fax
- (760) 948-2179
- Mailing Address
- 12021 JACARANDA AVE SUITE #100 HESPERIA, CA 92345
- Mailing Phone
- (760) 956-2636
- Mailing Fax
- (760) 948-2179
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-12-2016
- Last Update Date
- 11-03-2017
- 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
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
- License No.
- G66379
- License State
- 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
- 05D2117743
- Facility Type
- Other - URGENT CARE
- Certificate Effective Date
- August 23, 2024
- Certificate Expiration Date
- August 22, 2026
- Laboratory Director
- SAMUEL G. WILSON, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jacaranda Community Urgent Care 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 1578929113, 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 8 providers are registered at the same or a nearby location.
HESPERIA, CA 92345
HESPERIA, CA 92345
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578929113, enumerated as an "organization" on January 12, 2016.
The provider is located at 12021 JACARANDA AVE SUITE #100 HESPERIA, CA 92345 and the phone number is (760) 956-2636.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
