LAKESIDE HEALTH CENTER
NPI 1770516304
Clinic/Center - Federally Qualified Health Center (FQHC) in Lakeport, CA

NPI Status: Active since July 08, 2006

Contact Information

5335 LAKESHORE BLVD
LAKEPORT, CA
ZIP 95453
Phone: (707) 263-7725

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About LAKESIDE HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Lakeside Health Center, a primary care provider established in Lakeport, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1770516304 assigned on July 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's other name is Lakeside Health Center. The authorized official of this NPI record is Mr. Tim Dolan (Cfo)

NPI
1770516304
Provider Legal Name
MENDOCINO COMMUNITY HEALTH CLINIC, INC.
Other Organization Name
LAKESIDE HEALTH CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
5335 LAKESHORE BLVD LAKEPORT, CA 95453
Location Phone
(707) 263-7725
Mailing Address
333 LAWS AVE UKIAH, CA 95482
Mailing Phone
(707) 468-1010
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-08-2006
Last Update Date
05-03-2019
Code Navigator

A primary care provider (PCP) like Lakeside Health Center 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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
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)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

110000350 (CA)

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

MR. TIM DOLAN

Authorized Official Title
CFO
Authorized Official Phone
(707) 467-2260

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
FHC70845FMEDICAID (05)CA 
HAP70845FOTHER (01)CAFAMILYPACT

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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 1770516304, 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 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
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
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 7 → 14 → 5 5 → 10 → 1 6 → 12 → 3 0 → 0

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 + 1 + 0 + 1 + 1 + 2 + 3 + 0 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1770516304.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Chiropractor
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Physician Assistant (Medical)
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Dentist
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Internal Medicine
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Nurse Practitioner (Family)
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Dentist (General Practice)
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Pediatrics
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Nurse Practitioner (Family)
5335 LAKESHORE BLVD
LAKEPORT, CA 95453
Registered Nurse
5335 LAKESHORE BLVD
LAKEPORT, CA 95453

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770516304, enumerated as an "organization" on July 08, 2006.

The provider is located at 5335 LAKESHORE BLVD LAKEPORT, CA 95453 and the phone number is (707) 263-7725.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

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