ST MARY SPECIALTY CLINIC
NPI 1588972806
Obstetrics & Gynecology in Apple Valley, CA
NPI Status: Active since September 21, 2010
Contact Information
19333 BEAR VALLEY RD STE 106
APPLE VALLEY, CA
ZIP 92308
Phone: (760) 240-5505
Fax: (760) 240-5525
- Organization
- Obstetrics & Gynecology
- CLIA Number: 05D2275216
- CLIA Cert. Type: Other - CARDIAC REHAB
- CLIA Exp. Date: 01-17-2027
About ST MARY SPECIALTY CLINIC
This page provides the complete NPI Profile along with additional information for St Mary Specialty Clinic, a women's health care provider established in Apple Valley, California operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1588972806 assigned on September 2010. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. St Mary Specialty Clinic 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 Dr. Moses T Mukai Jr. M.d. (President)
- NPI
- 1588972806
- Provider Name
- ST MARY SPECIALTY CLINIC
- Entity Type
- Organization
- Location Address
- 19333 BEAR VALLEY RD STE 106 APPLE VALLEY, CA 92308
- Location Phone
- (760) 240-5505
- Location Fax
- (760) 240-5525
- Mailing Address
- DEPT LA 21190 PASADENA, CA 91185
- Mailing Phone
- (714) 449-4800
- Mailing Fax
- (760) 240-5525
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-21-2010
- Last Update Date
- 05-31-2013
- Code Navigator
Women's health care providers like St Mary Specialty Clinic treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery |
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
- 05D2275216
- Facility Type
- Other - CARDIAC REHAB
- Certificate Effective Date
- January 18, 2025
- Certificate Expiration Date
- January 17, 2027
- Laboratory Director
- MINO PHAM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St Mary Specialty Clinic 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 1588972806, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).
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 74 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588972806, enumerated as an "organization" on September 21, 2010.
The provider is located at 19333 BEAR VALLEY RD STE 106 APPLE VALLEY, CA 92308 and the phone number is (760) 240-5505.
Obstetrics & Gynecology with taxonomy code 207V00000X.
