PALO ALTO MIND BODY
NPI 1639729932
Clinic/Center - Multi-Specialty in Palo Alto, CA
NPI Status: Active since September 18, 2019
Contact Information
206 CALIFORNIA AVE
PALO ALTO, CA
ZIP 94306
Phone: (650) 681-2900
Fax: (650) 681-2646
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 05D2150501
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 10-31-2025
About PALO ALTO MIND BODY
This page provides the complete NPI Profile along with additional information for Palo Alto Mind Body, a provider established in Palo Alto, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1639729932 assigned on September 2019. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Palo Alto Mind Body 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. M Rameen Ghorieshi Md, Mph (Physician)
- NPI
- 1639729932
- Provider Name
- PALO ALTO MIND BODY
- Entity Type
- Organization
- Location Address
- 206 CALIFORNIA AVE PALO ALTO, CA 94306
- Location Phone
- (650) 681-2900
- Location Fax
- (650) 681-2646
- Mailing Address
- PO BOX 1011 PALO ALTO, CA 94302
- Mailing Phone
- (650) 681-2900
- Mailing Fax
- (650) 681-2646
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-18-2019
- Last Update Date
- 04-05-2023
- 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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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 | 2084A0401X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 2 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 3 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice |
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
- 05D2150501
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- July 17, 2021
- Certificate Expiration Date
- October 31, 2025
- Laboratory Director
- ALEXIS H. KIM MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Palo Alto Mind Body 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 1639729932, we treat the final digit (2) 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 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).
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 78 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
PALO ALTO, CA 94306
PALO ALTO, CA 94306
PALO ALTO, CA 94306
PALO ALTO, CA 94306
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639729932, enumerated as an "organization" on September 18, 2019.
The provider is located at 206 CALIFORNIA AVE PALO ALTO, CA 94306 and the phone number is (650) 681-2900.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
