FOUR SQUARE CLINICALS OF CALIFORNIA A PROFESSIONAL NURSING CORPORATION
NPI 1770224222
Nurse Practitioner - Psychiatric/Mental Health in Placentia, CA

NPI Status: Active since April 06, 2022

Contact Information

418 N CLINE COURT
PLACENTIA, CA
ZIP 92870
Phone: (714) 345-6944

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • CLIA Number: 29D2205410
  • CLIA Cert. Type: Other - SUBSTANCE ABUSE CENTERS
  • CLIA Exp. Date: 12-13-2026

About FOUR SQUARE CLINICALS OF CALIFORNIA A PROFESSIONAL NURSING CORPORATION

This page provides the complete NPI Profile along with additional information for Four Square Clinicals Of California A Professional Nursing Corporation, a provider established in Placentia, California operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1770224222 assigned on April 2022. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Four Square Clinicals Of California A Professional Nursing Corporation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Steven Huerta Dnp, Pmhnp-bc (Clinical Operations Director)

NPI
1770224222
Provider Name
FOUR SQUARE CLINICALS OF CALIFORNIA A PROFESSIONAL NURSING CORPORATION
Entity Type
Organization
Location Address
418 N CLINE COURT PLACENTIA, CA 92870
Location Phone
(714) 345-6944
Mailing Address
650 N ROSE DRIVE SUITE 472 PLACENTIA, CA 92870
Mailing Phone
(714) 345-6944
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2022
Last Update Date
04-06-2022
Code Navigator

A nurse practitioner (NP) like Four Square Clinicals Of California A Professional Nursing Corporation is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

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)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
2261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

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

STEVEN HUERTA DNP, PMHNP-BC

Authorized Official Title
CLINICAL OPERATIONS DIRECTOR
Authorized Official Phone
(714) 345-6944

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
29D2205410
Facility Type
Other - SUBSTANCE ABUSE CENTERS
Certificate Effective Date
December 14, 2024
Certificate Expiration Date
December 13, 2026
Laboratory Director
STEVEN T. HUERTA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Four Square Clinicals Of California A Professional Nursing Corporation 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 1770224222, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
2
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 7 → 14 → 5 2 → 4 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 4 + 0 + 4 + 2 + 8 + 2 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1770224222.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770224222, enumerated as an "organization" on April 06, 2022.

The provider is located at 418 N CLINE COURT PLACENTIA, CA 92870 and the phone number is (714) 345-6944.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.