MT. SAN JACINTO COMMUNITY COLLEGE DISTRICT
NPI 1700620127
Clinic/Center - Student Health in Menifee, CA

NPI Status: Active since June 20, 2024

Contact Information

28237 LA PIEDRA RD
MENIFEE, CA
ZIP 92584
Phone: (951) 465-8371

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  • Organization
  • Clinic/Center
  • Student Health
  • CLIA Number: 05D2196005
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 10-13-2026

About MT. SAN JACINTO COMMUNITY COLLEGE DISTRICT

This page provides the complete NPI Profile along with additional information for Mt. San Jacinto Community College District, a primary care provider established in Menifee, California operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1700620127 assigned on June 2024. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Michael Beckham (Interim Vp Of Business Services)

NPI
1700620127
Provider Name
MT. SAN JACINTO COMMUNITY COLLEGE DISTRICT
Entity Type
Organization
Location Address
28237 LA PIEDRA RD MENIFEE, CA 92584
Location Phone
(951) 465-8371
Mailing Address
28237 LA PIEDRA RD MENIFEE, CA 92584
Mailing Phone
(951) 465-8371
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-20-2024
Last Update Date
06-20-2024
Code Navigator

A primary care provider (PCP) like Mt. San Jacinto Community College District sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Student Health

Taxonomy Code
261QS1000X
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)
1251300000XAgencies

Local Education Agency (LEA)

 

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

MICHAEL BECKHAM

Authorized Official Title
INTERIM VP OF BUSINESS SERVICES
Authorized Official Phone
(951) 487-3100

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
05D2196005
Facility Type
School/Student Health Service
Certificate Effective Date
October 14, 2024
Certificate Expiration Date
October 13, 2026
Laboratory Director
DR. OMID ZEBARJADI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mt. San Jacinto Community College District 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 1700620127, we treat the final digit (7) 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 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 0 + 0 + 1 + 2 + 2 + 0 + 1 + 4 + 24 = 43

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

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1700620127.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700620127, enumerated as an "organization" on June 20, 2024.

The provider is located at 28237 LA PIEDRA RD MENIFEE, CA 92584 and the phone number is (951) 465-8371.

Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.