VA NORTHERN CALIFORNIA HEALTH CARE SYSTEM
NPI 1871539783
Health Maintenance Organization in Mcclellan, CA

NPI Status: Active since June 20, 2006

Contact Information

5342 DUDLEY BLVD
MCCLELLAN, CA
ZIP 95652
Phone: (916) 561-7520
Fax: (916) 561-7529

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  • Organization
  • Health Maintenance Organization
  • CLIA Number: 05D0988247
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About VA NORTHERN CALIFORNIA HEALTH CARE SYSTEM

This page provides the complete NPI Profile along with additional information for Va Northern California Health Care System, a provider established in Mcclellan, California operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1871539783 assigned on June 2006. The practitioner's primary taxonomy code is 302R00000X with license number KY 3114 (KY). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Mrs. Gerarda W Persad Mssw, Lcsw (Social Worker)

NPI
1871539783
Provider Name
VA NORTHERN CALIFORNIA HEALTH CARE SYSTEM
Entity Type
Organization
Location Address
5342 DUDLEY BLVD MCCLELLAN, CA 95652
Location Phone
(916) 561-7520
Location Fax
(916) 561-7529
Mailing Address
5342 DUDLEY BLVD MCCLELLAN, CA 95652
Mailing Phone
(916) 561-7520
Mailing Fax
(916) 561-7529
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2006
Last Update Date
08-17-2007
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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.
KY 3114
License State
KY
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

MRS. GERARDA W PERSAD MSSW, LCSW

Authorized Official Title
SOCIAL WORKER
Authorized Official Phone
(916) 561-7520

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
05D0988247
Facility Type
Community Clinic
Certificate Effective Date
June 22, 2001
Certificate Expiration Date
May 22, 2026
Laboratory Director
KRISTEN VANDEWALKER
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Va Northern California Health Care System on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1871539783, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
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 7 → 14 → 5 5 → 10 → 1 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 4 + 1 + 1 + 0 + 3 + 1 + 8 + 7 + 1 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1871539783.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
General Practice
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Family Medicine
5342 DUDLEY BLVD, BLDG 98
MCCLELLAN, CA 95652
Optometrist
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Obstetrics & Gynecology
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Internal Medicine
5342 DUDLEY BLVD, VA MCCLELLAN OPC
MCCLELLAN, CA 95652
Family Medicine
5342 DUDLEY BLVD, V.A.O.P.C.
MCCLELLAN, CA 95652
Family Medicine
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Nurse Practitioner (Women's Health)
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Nurse Practitioner
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Internal Medicine
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Nurse Practitioner (Adult Health)
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Audiologist
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Audiologist
5342 DUDLEY BLVD, AUDIOLOGY 126 VAOPC
MCCLELLAN, CA 95652
Registered Nurse (Home Health)
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Registered Nurse (Home Health)
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Pharmacist
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Pharmacist
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Physical Therapist
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Physical Therapist
5342 DUDLEY BLVD, PHYSICAL THERAPY CLINIC
MCCLELLAN, CA 95652

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871539783, enumerated as an "organization" on June 20, 2006.

The provider is located at 5342 DUDLEY BLVD MCCLELLAN, CA 95652 and the phone number is (916) 561-7520.

Health Maintenance Organization with taxonomy code 302R00000X.