INDIAN WELLS VALLEY
NPI 1770767493
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Ridgecrest, CA

NPI Status: Active since December 18, 2007

Contact Information

212 S RICHMOND RD
RIDGECREST, CA
ZIP 93555
Phone: (760) 371-7506
Fax: (760) 371-7806

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance

About INDIAN WELLS VALLEY

This page provides the complete NPI Profile along with additional information for Indian Wells Valley, a provider established in Ridgecrest, California operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1770767493 assigned on December 2007. The practitioner's primary taxonomy code is 261QE0700X with license number 240000779 (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Indian Wells Valley. The authorized official of this NPI record is Samuel T. Wey (Vp, Licensure & Certification)

NPI
1770767493
Provider Legal Name
TOTAL RENAL CARE INC
Other Organization Name
INDIAN WELLS VALLEY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
212 S RICHMOND RD RIDGECREST, CA 93555
Location Phone
(760) 371-7506
Location Fax
(760) 371-7806
Mailing Address
5200 VIRGINIA WAY L&C DEPT BRENTWOOD, TN 37027
Mailing Phone
(615) 238-3085
Mailing Fax
(760) 371-7806
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-18-2007
Last Update Date
01-18-2024
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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 End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
240000779
License State
CA

Insurance Plans Accepted

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

  • Complete VALUE Gold - HMO
  • Focused VALUE Silver - HMO
  • Focused VALUE Silver + Vision + Adult Dental - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Standard Silver VALUE + Vision + Adult Dental - HMO
  • Clarity VALUE Silver - HMO
  • Complete VALUE Gold - HMO
  • Elite VALUE Bronze - HMO
  • Focused VALUE Silver - HMO
  • Standard Expanded Bronze VALUE - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO

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

SAMUEL T. WEY

Authorized Official Title
VP, LICENSURE & CERTIFICATION
Authorized Official Phone
(615) 341-6641

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
1770767493MEDICAID (05)CA 

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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 1770767493, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
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 7 → 14 → 5 7 → 14 → 5 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 + 1 + 4 + 0 + 1 + 4 + 6 + 1 + 4 + 4 + 1 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1770767493.

Other Providers at the Same Location


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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
212 S RICHMOND RD
RIDGECREST, CA 93555
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
212 S RICHMOND RD
RIDGECREST, CA 93555
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
212 S RICHMOND RD
RIDGECREST, CA 93555

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770767493, enumerated as an "organization" on December 18, 2007.

The provider is located at 212 S RICHMOND RD RIDGECREST, CA 93555 and the phone number is (760) 371-7506.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.