MARYSVILLE CLINIC
NPI 1730497421
Internal Medicine in Marysville, CA

NPI Status: Active since September 16, 2010

Contact Information

527 E ST
MARYSVILLE, CA
ZIP 95901
Phone: (530) 743-5300
Fax: (530) 743-2699

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  • Organization
  • Internal Medicine
  • CLIA Number: 05D2024800
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 05-23-2027

About MARYSVILLE CLINIC

This page provides the complete NPI Profile along with additional information for Marysville Clinic, an internist established in Marysville, California operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1730497421 assigned on September 2010. The practitioner's primary taxonomy code is 207R00000X with license number A46605 (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. Marysville Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Marysville Clinic. The authorized official of this NPI record is Dr. Sanjiv Kumar Midha M.d. (Secretory)

NPI
1730497421
Provider Legal Name
JASBIR S KANG MD & SANJIV MIDHA MD A MEDICAL CORPORATION
Other Organization Name
MARYSVILLE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
527 E ST MARYSVILLE, CA 95901
Location Phone
(530) 743-5300
Location Fax
(530) 743-2699
Mailing Address
1215 PLUMAS ST STE 1900 YUBA CITY, CA 95991
Mailing Phone
(530) 674-2100
Mailing Fax
(530) 743-2699
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2010
Last Update Date
11-14-2019
Code Navigator

An internist like Marysville Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
A46605
License State
CA
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

A51440 (CA)
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

A70328 (CA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

DR. SANJIV KUMAR MIDHA M.D.

Authorized Official Title
SECRETORY
Authorized Official Phone
(530) 674-2100

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
05D2024800
Facility Type
Rural Health Clinic
Certificate Effective Date
May 24, 2025
Certificate Expiration Date
May 23, 2027
Laboratory Director
SANJIV K. MIDHA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Marysville Clinic 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 1730497421, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
1
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 4 → 8 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 6 + 0 + 8 + 9 + 1 + 4 + 4 + 4 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1730497421.

Other Providers at the Same Location


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

Pediatrics
527 E ST
MARYSVILLE, CA 95901
Family Medicine
527 E ST
MARYSVILLE, CA 95901
Nurse Practitioner (Acute Care)
527 E ST
MARYSVILLE, CA 95901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730497421, enumerated as an "organization" on September 16, 2010.

The provider is located at 527 E ST MARYSVILLE, CA 95901 and the phone number is (530) 743-5300.

Internal Medicine with taxonomy code 207R00000X.