COMMUNITY CLINIC NORTH
NPI 1730213794
Clinic/Center - Methadone in Santa Cruz, CA

NPI Status: Active since March 14, 2007

Contact Information

1000A & 1010C EMELINE AVE
SANTA CRUZ, CA
ZIP 95060
Phone: (831) 425-0112
Fax: (831) 425-1847

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  • Organization
  • Clinic/Center
  • Methadone

About COMMUNITY CLINIC NORTH

This page provides the complete NPI Profile along with additional information for Community Clinic North, a provider established in Santa Cruz, California operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1730213794 assigned on March 2007. The practitioner's primary taxonomy code is 261QM2800X with license number 4405 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Community Clinic North. The authorized official of this NPI record is Amber Williams (Chief Executive Officer)

NPI
1730213794
Provider Legal Name
JANUS OF SANTA CRUZ
Other Organization Name
COMMUNITY CLINIC NORTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1000A & 1010C EMELINE AVE SANTA CRUZ, CA 95060
Location Phone
(831) 425-0112
Location Fax
(831) 425-1847
Mailing Address
200 7TH AVENUE SUITE 150 SANTA CRUZ, CA 95062
Mailing Phone
(831) 462-1060
Mailing Fax
(831) 425-1847
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2007
Last Update Date
03-08-2022
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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 Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
License No.
4405
License State
CA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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)
1251S00000XAgencies

Community/Behavioral Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

AMBER WILLIAMS

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(831) 278-7906

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
44-05OTHER (01)CADHCS
44ABMEDICAID (05)CA 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

This refers to extended counseling sessions in a week for patients undergoing medication-assisted treatment for opioid addiction. Provided by a Medicare-enrolled program, this service is billed separately from the main treatment procedure. It offers extra support and guidance for patients in their recovery journey.

This service was performed 1,332 times for 63 patients

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

This service was performed 1,907 times for 66 patients

Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for

Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.

This service was performed 46 times for 45 patients

Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.

This service was performed 847 times for 39 patients

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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 1730213794, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
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 3 → 6 2 → 4 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 6 + 0 + 4 + 1 + 6 + 7 + 1 + 8 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1730213794.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730213794, enumerated as an "organization" on March 14, 2007.

The provider is located at 1000A & 1010C EMELINE AVE SANTA CRUZ, CA 95060 and the phone number is (831) 425-0112.

Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.