COMMUNITY MEMORIAL HEALTH SYSTEM
NPI 1659656775
Clinic/Center - Multi-Specialty in Port Hueneme, CA

NPI Status: Active since October 20, 2011

Contact Information

321 E PORT HUENEME RD
PORT HUENEME, CA
ZIP 93041
Phone: (805) 652-4267
Fax: (805) 488-8082

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 05D2041884
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 10-29-2025

About COMMUNITY MEMORIAL HEALTH SYSTEM

This page provides the complete NPI Profile along with additional information for Community Memorial Health System, a provider established in Port Hueneme, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1659656775 assigned on October 2011. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Mick Zdeblick (Ceo)

NPI
1659656775
Provider Legal Name
COMMUNITY MEMORIAL HEALTH SYSTEM
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
321 E PORT HUENEME RD PORT HUENEME, CA 93041
Location Phone
(805) 652-4267
Location Fax
(805) 488-8082
Mailing Address
5855 OLIVAS PARK DR VENTURA, CA 93003
Mailing Phone
(805) 667-2801
Mailing Fax
(805) 488-8082
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-20-2011
Last Update Date
05-19-2025
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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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICK ZDEBLICK

Authorized Official Title
CEO
Authorized Official Phone
(805) 652-5011

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
05D2041884
Facility Type
Community Clinic
Certificate Effective Date
October 30, 2023
Certificate Expiration Date
October 29, 2025
Laboratory Director
STEVEN D. CLEMENT, DO
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Community Memorial Health System 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 1659656775, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 6 → 12 → 3 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 0 + 9 + 1 + 2 + 5 + 1 + 2 + 7 + 1 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1659656775.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
321 E PORT HUENEME RD
PORT HUENEME, CA 93041
Family Medicine
321 E PORT HUENEME RD
PORT HUENEME, CA 93041

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659656775, enumerated as an "organization" on October 20, 2011.

The provider is located at 321 E PORT HUENEME RD PORT HUENEME, CA 93041 and the phone number is (805) 652-4267.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.