TELECARE
NPI 1831355544
Preferred Provider Organization in Anaheim, CA

NPI Status: Active since August 01, 2008

Contact Information

2569 W WOODLAND DR
ANAHEIM, CA
ZIP 92801
Phone: (714) 226-9888
Fax: (714) 226-9887

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  • Organization
  • Preferred Provider Organization
  • CLIA Number: 05D2161911
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 02-12-2027

About TELECARE

This page provides the complete NPI Profile along with additional information for Telecare, a provider established in Anaheim, California operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1831355544 assigned on August 2008. The practitioner's primary taxonomy code is 305R00000X with license number I9910608 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Stacey Max Nijst I9910608 (Personal Service Coordinator)

NPI
1831355544
Provider Name
TELECARE
Entity Type
Organization
Location Address
2569 W WOODLAND DR ANAHEIM, CA 92801
Location Phone
(714) 226-9888
Location Fax
(714) 226-9887
Mailing Address
2569 W WOODLAND DR ANAHEIM, CA 92801
Mailing Phone
(714) 226-9888
Mailing Fax
(714) 226-9887
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2008
Last Update Date
08-01-2008
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
I9910608
License State
CA
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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. STACEY MAX NIJST I9910608

Authorized Official Title
PERSONAL SERVICE COORDINATOR
Authorized Official Phone
(714) 226-9888

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
05D2161911
Facility Type
Community Clinic
Certificate Effective Date
February 13, 2025
Certificate Expiration Date
February 12, 2027
Laboratory Director
LIANJIE DU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Telecare 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 1831355544, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
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 3 → 6 3 → 6 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 6 + 1 + 6 + 5 + 1 + 0 + 5 + 8 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1831355544.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Day Training/Habilitation Specialist
2569 W WOODLAND DR
ANAHEIM, CA 92801
Day Training/Habilitation Specialist
2569 W WOODLAND DR
ANAHEIM, CA 92801
Day Training/Habilitation Specialist
2569 W WOODLAND DR
ANAHEIM, CA 92801
Licensed Psychiatric Technician
2569 W WOODLAND DR
ANAHEIM, CA 92801
Day Training/Habilitation Specialist
2569 W WOODLAND DR
ANAHEIM, CA 92801
Social Worker (Clinical)
2569 W WOODLAND DR
ANAHEIM, CA 92801
Specialist
2569 W WOODLAND DR
ANAHEIM, CA 92801
Specialist
2569 W WOODLAND DR
ANAHEIM, CA 92801
Specialist
2569 W WOODLAND DR
ANAHEIM, CA 92801
Specialist
2569 W WOODLAND DR
ANAHEIM, CA 92801
Specialist
2569 W WOODLAND DR
ANAHEIM, CA 92801
Licensed Vocational Nurse
2569 W WOODLAND DR
ANAHEIM, CA 92801
Specialist
2569 W WOODLAND DR
ANAHEIM, CA 92801
Specialist
2569 W WOODLAND DR
ANAHEIM, CA 92801
Licensed Vocational Nurse
2569 W WOODLAND DR
ANAHEIM, CA 92801
Specialist
2569 W WOODLAND DR
ANAHEIM, CA 92801
Family Medicine
2569 W WOODLAND DR
ANAHEIM, CA 92801
Psychologist (Clinical)
2569 W WOODLAND DR
ANAHEIM, CA 92801
Behavior Technician
2569 W WOODLAND DR
ANAHEIM, CA 92801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831355544, enumerated as an "organization" on August 01, 2008.

The provider is located at 2569 W WOODLAND DR ANAHEIM, CA 92801 and the phone number is (714) 226-9888.

Preferred Provider Organization with taxonomy code 305R00000X.