AMERICASHEALTH PLAN, INC.
NPI 1861879025
Health Maintenance Organization in Ventura, CA

NPI Status: Active since April 27, 2015

Contact Information

200 S WELLS RD
SUITE 200
VENTURA, CA
ZIP 93004
Phone: (800) 633-3313

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  • Health Maintenance Organization

About AMERICASHEALTH PLAN, INC.

This page provides the complete NPI Profile along with additional information for Americashealth Plan, Inc., a provider established in Ventura, California operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1861879025 assigned on April 2015. The practitioner's primary taxonomy code is 302R00000X with license number 933-0485 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Enrique De La Garza (Chief Executive Officer)

NPI
1861879025
Provider Name
AMERICASHEALTH PLAN, INC.
Entity Type
Organization
Location Address
200 S WELLS RD SUITE 200 VENTURA, CA 93004
Location Phone
(800) 633-3313
Mailing Address
200 S WELLS RD SUITE 200 VENTURA, CA 93004
Mailing Phone
(800) 633-3313
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-27-2015
Last Update Date
04-27-2015
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
933-0485
License State
CA
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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

DR. ENRIQUE DE LA GARZA

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(800) 633-3313

Reviews for AMERICASHEALTH PLAN, INC.

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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 1861879025, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
5
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 6 → 12 → 3 8 → 16 → 7 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 1 + 6 + 7 + 1 + 8 + 0 + 4 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1861879025.

Other Providers at the Same Location


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

Psychologist
200 S WELLS RD, SUITE 350 CLINICAS DEL CMAINO REAL INC
VENTURA, CA 93004
Psychiatry & Neurology (Psychiatry)
200 S WELLS RD
VENTURA, CA 93004
Psychologist
200 S WELLS RD, SUITE 200 CLINICAS DEL CAMINO REAL INC
VENTURA, CA 93004
Optometrist
200 S WELLS RD, CLINICAS DEL CAMINO REAL INC SUITE 250
VENTURA, CA 93004
Social Worker (Clinical)
200 S WELLS RD, CLINICAS DEL CAMINO REAL SUITE 250
VENTURA, CA 93004
Marriage & Family Therapist
200 S WELLS RD, SUITE 225
VENTURA, CA 93004
Dentist
200 S WELLS RD, 200
VENTURA, CA 93004
Social Worker (Clinical)
200 S WELLS RD
VENTURA, CA 93004
Community/Behavioral Health
200 S WELLS RD, SUITE 200
VENTURA, CA 93004
Social Worker (Clinical)
200 S WELLS RD, SUITE 200
VENTURA, CA 93004
Psychologist (Clinical)
200 S WELLS RD, #100
VENTURA, CA 93004
Clinic/Center
200 S WELLS RD
VENTURA, CA 93004
Internal Medicine
200 S WELLS RD, SUITE 200
VENTURA, CA 93004
Physician Assistant
200 S WELLS RD, SUITE 200
VENTURA, CA 93004
Family Medicine
200 S WELLS RD, SUITE 200
VENTURA, CA 93004
Dentist
200 S WELLS RD, SUITE 200
VENTURA, CA 93004
Pediatrics
200 S WELLS RD, SUITE 200
VENTURA, CA 93004
Internal Medicine
200 S WELLS RD, SUITE 200
VENTURA, CA 93004
Dentist
200 S WELLS RD, SUITE 200
VENTURA, CA 93004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861879025, enumerated as an "organization" on April 27, 2015.

The provider is located at 200 S WELLS RD SUITE 200 VENTURA, CA 93004 and the phone number is (800) 633-3313.

Health Maintenance Organization with taxonomy code 302R00000X.