CAMERON PARK REHAB
NPI 1770294928
Clinic/Center - Rehabilitation, Substance Use Disorder in Cameron Park, CA

NPI Status: Active since December 08, 2022

Contact Information

4120 CAMERON PARK DR STE 403
CAMERON PARK, CA
ZIP 95682
Phone: (310) 343-8684

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About CAMERON PARK REHAB

This page provides the complete NPI Profile along with additional information for Cameron Park Rehab, a provider established in Cameron Park, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1770294928 assigned on December 2022. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Cameron Park Rehab operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Shaina Donner (Manager)

NPI
1770294928
Provider Name
CAMERON PARK REHAB
Entity Type
Organization
Location Address
4120 CAMERON PARK DR STE 403 CAMERON PARK, CA 95682
Location Phone
(310) 343-8684
Mailing Address
4120 CAMERON PARK DR STE 403 CAMERON PARK, CA 95682
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-08-2022
Last Update Date
11-01-2023
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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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
3106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 

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

SHAINA DONNER

Authorized Official Title
MANAGER
Authorized Official Phone
(310) 343-8684

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770294928
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2714049894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 4 + 9 + 8 + 9 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1770294928 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

MRS. JOY L. GRAF MFT

Marriage & Family Therapist

4120 CAMERON PARK DR STE 403
CAMERON PARK, CA
ZIP 95682

(530) 391-1658

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770294928, enumerated as an "organization" on December 08, 2022.

The provider is located at 4120 CAMERON PARK DR STE 403 CAMERON PARK, CA 95682 and the phone number is (310) 343-8684.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.