ARTIUS DERMATOLOGY ASSOCIATES PC
NPI 1801417316
Non-Pharmacy Dispensing Site in Manteca, CA

NPI Status: Active since May 06, 2020

Contact Information

296 COTTAGE AVE
MANTECA, CA
ZIP 95336
Phone: (209) 624-7006
Fax: (209) 554-4601

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  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 05D2190619
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-31-2025

About ARTIUS DERMATOLOGY ASSOCIATES PC

This page provides the complete NPI Profile along with additional information for Artius Dermatology Associates Pc, a provider established in Manteca, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1801417316 assigned on May 2020. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ronald Mistak (Cfo)

NPI
1801417316
Provider Name
ARTIUS DERMATOLOGY ASSOCIATES PC
Entity Type
Organization
Location Address
296 COTTAGE AVE MANTECA, CA 95336
Location Phone
(209) 624-7006
Location Fax
(209) 554-4601
Mailing Address
PO BOX 101868 PASADENA, CA 91189
Mailing Phone
(956) 803-0748
Mailing Fax
(209) 554-4601
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-06-2020
Last Update Date
05-06-2020
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

RONALD MISTAK

Authorized Official Title
CFO
Authorized Official Phone
(361) 248-1505

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
05D2190619
Facility Type
Physician Office
Certificate Effective Date
November 16, 2022
Certificate Expiration Date
October 31, 2025
Laboratory Director
MATTHEW R. MUENSTER
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Artius Dermatology Associates Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1801417316, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
6
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 0 → 0 4 → 8 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 0 + 1 + 8 + 1 + 1 + 4 + 3 + 2 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1801417316.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dermatology
296 COTTAGE AVE
MANTECA, CA 95336
Physician Assistant
296 COTTAGE AVE
MANTECA, CA 95336
Nurse Practitioner (Family)
296 COTTAGE AVE
MANTECA, CA 95336
Physician Assistant
296 COTTAGE AVE
MANTECA, CA 95336

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801417316, enumerated as an "organization" on May 06, 2020.

The provider is located at 296 COTTAGE AVE MANTECA, CA 95336 and the phone number is (209) 624-7006.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.