NORWOOD PINES ALZHEIMERS CARE CENTER
NPI 1801892096
Alzheimer Center (Dementia Center) in Sacramento, CA

NPI Status: Active since June 22, 2005

Contact Information

500 JESSIE AVENUE
SACRAMENTO, CA
ZIP 95838
Phone: (916) 922-7177
Fax: (916) 922-5782

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  • Organization
  • Alzheimer Center (Dementia Center)
  • CLIA Number: 05D0988752
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 07-08-2027

About NORWOOD PINES ALZHEIMERS CARE CENTER

This page provides the complete NPI Profile along with additional information for Norwood Pines Alzheimers Care Center, a provider established in Sacramento, California operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1801892096 assigned on June 2005. The practitioner's primary taxonomy code is 311500000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Norwood Pines Alzheimers Care Center. The authorized official of this NPI record is Mr. Fernan Pedraja (Financial Controller)

NPI
1801892096
Provider Legal Name
MEK NORWOOD PINES LLC
Other Organization Name
NORWOOD PINES ALZHEIMERS CARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
500 JESSIE AVENUE SACRAMENTO, CA 95838
Location Phone
(916) 922-7177
Location Fax
(916) 922-5782
Mailing Address
1506 S. GLENDALE AVENUE GLENDALE, CA 91205
Mailing Phone
(818) 247-6200
Mailing Fax
(916) 922-5782
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2005
Last Update Date
04-11-2016
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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

Alzheimer Center (Dementia Center)

Taxonomy Code
311500000X
Type
Nursing & Custodial Care Facilities
License State
CA
Taxonomy Description
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

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)
1311500000XNursing & Custodial Care Facilities

Alzheimer Center (Dementia Center)

030000010 (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. FERNAN PEDRAJA

Authorized Official Title
FINANCIAL CONTROLLER
Authorized Official Phone
(818) 247-6200

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
ZZR06045KMEDICAID (05)CA 
555400MEDICARE OSCAR/CERTIFICATION (06)CA 
05D0988752OTHER (01)CACLIA ID NUMBER
4311700001MEDICARE NSC (07)CA 

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
05D0988752
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
July 09, 2025
Certificate Expiration Date
July 08, 2027
Laboratory Director
GLEN XIONG MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Norwood Pines Alzheimers Care Center 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 1801892096, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 8 → 16 → 7 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 0 + 1 + 1 + 6 + 9 + 4 + 0 + 1 + 8 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1801892096.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801892096, enumerated as an "organization" on June 22, 2005.

The provider is located at 500 JESSIE AVENUE SACRAMENTO, CA 95838 and the phone number is (916) 922-7177.

Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

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