CLEARLAKE VA CBOC
NPI 1689976094
Clinic/Center - VA in Clearlake, CA

NPI Status: Active since November 18, 2010

Contact Information

15145 LAKESHORE DR
CLEARLAKE, CA
ZIP 95422
Phone: (702) 341-3020

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  • Organization
  • Clinic/Center
  • VA

About CLEARLAKE VA CBOC

This page provides the complete NPI Profile along with additional information for Clearlake Va Cboc, a provider established in Clearlake, California operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1689976094 assigned on November 2010. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's other name is Clearlake Va Cboc. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1689976094
Provider Legal Name
SAN FRANCISCO VAMC
Other Organization Name
CLEARLAKE VA CBOC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
15145 LAKESHORE DR CLEARLAKE, CA 95422
Location Phone
(702) 341-3020
Mailing Address
PO BOX 94417 CLEVELAND, OH 44101
Mailing Phone
(702) 341-3020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2010
Last Update Date
11-01-2017
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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 VA

Taxonomy Code
261QV0200X
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

ERIN POTTER

Authorized Official Title
NPI TEAM MEMBER
Authorized Official Phone
(202) 382-2579

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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 1689976094, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

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
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
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 8 → 16 → 7 9 → 18 → 9 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 6 + 9 + 1 + 8 + 7 + 1 + 2 + 0 + 1 + 8 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1689976094.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Marriage & Family Therapist
15145 LAKESHORE DR
CLEARLAKE, CA 95422
Psychiatry & Neurology (Psychiatry)
15145 LAKESHORE DR
CLEARLAKE, CA 95422
Licensed Vocational Nurse
15145 LAKESHORE DR
CLEARLAKE, CA 95422

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689976094, enumerated as an "organization" on November 18, 2010.

The provider is located at 15145 LAKESHORE DR CLEARLAKE, CA 95422 and the phone number is (702) 341-3020.

Clinic/Center with taxonomy code 261QV0200X and a focus in VA.