MRS. MARCELINA BAUTISTA
NPI 1861791725
Custodial Care Facility - Adult Care Home in San Bruno, CA

NPI Status: Active since March 17, 2011

Contact Information

188 SAN FELIPE AVE
SAN BRUNO, CA
ZIP 94066
Phone: (650) 952-4398
Fax: (650) 583-6120

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  • Individual
  • Female
  • Custodial Care Facility
  • Adult Care Home

About MARCELINA BAUTISTA

This page provides the complete NPI Profile along with additional information for Marcelina Bautista, a provider established in San Bruno, California with a medical specialization in Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1861791725 assigned on March 2011. The practitioner's primary taxonomy code is 311ZA0620X with license number 415600504 (CA). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1861791725
Provider Name
MRS. MARCELINA BAUTISTA
Other Name
MRS. MARCY BAUTISTA
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
188 SAN FELIPE AVE SAN BRUNO, CA 94066
Location Phone
(650) 952-4398
Location Fax
(650) 583-6120
Mailing Address
188 SAN FELIPE AVE SAN BRUNO, CA 94066
Mailing Phone
(650) 952-4398
Mailing Fax
(650) 583-6120
Is Sole Proprietor?
Yes
Enumeration Date
03-17-2011
Last Update Date
03-17-2011
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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

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
415600504
License State
CA
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1861791725
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28121149274
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 1 + 4 + 9 + 2 + 7 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1861791725 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861791725, enumerated as an "individual" on March 17, 2011.

The provider is located at 188 SAN FELIPE AVE SAN BRUNO, CA 94066 and the phone number is (650) 952-4398.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.