DIGNITY HEALTH MEDICAL GROUP - DOMINICAN, A SERVICE OF DIGNITY HEALTH
NPI 1649446352
Clinic/Center - Multi-Specialty in Santa Cruz, CA
NPI Status: Active since May 02, 2008
Contact Information
2018 MISSION ST
SANTA CRUZ, CA
ZIP 95060
Phone: (831) 465-7761
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 05D1086135
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-02-2026
About DIGNITY HEALTH MEDICAL GROUP - DOMINICAN, A SERVICE OF DIGNITY HEALTH
This page provides the complete NPI Profile along with additional information for Dignity Health Medical Group - Dominican, A Service Of Dignity Health, a provider established in Santa Cruz, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1649446352 assigned on May 2008. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Dignity Health Medical Group - Dominican, A Service Of Dignity Health. The authorized official of this NPI record is Theresa M Hylen (Chief Financial Officer)
- NPI
- 1649446352
- Provider Legal Name
- DIGNITY HEALTH MEDICAL FOUNDATION
- Other Organization Name
- DIGNITY HEALTH MEDICAL GROUP - DOMINICAN, A SERVICE OF DIGNITY HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2018 MISSION ST SANTA CRUZ, CA 95060
- Location Phone
- (831) 465-7761
- Mailing Address
- 3000 Q ST SACRAMENTO, CA 95816
- Mailing Phone
- (916) 733-5701
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-02-2008
- Last Update Date
- 11-18-2020
- 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
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
- 05D1086135
- Facility Type
- Physician Office
- Certificate Effective Date
- July 03, 2024
- Certificate Expiration Date
- July 02, 2026
- Laboratory Director
- JACKSON NAGLE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Dignity Health Medical Group - Dominican, A Service Of Dignity Health in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1649446352, 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 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 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
SANTA CRUZ, CA 95060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649446352, enumerated as an "organization" on May 02, 2008.
The provider is located at 2018 MISSION ST SANTA CRUZ, CA 95060 and the phone number is (831) 465-7761.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.