MERCY MEDICAL GROUP, A SERVICE OF CHW MEDICAL FOUNDATION
NPI 1942430566
Clinic/Center - Multi-Specialty in El Dorado Hills, CA

NPI Status: Active since July 16, 2009

Contact Information

4987 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA
ZIP 95762
Phone: (916) 933-4222
Fax: (916) 933-5574

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Multi-Specialty
CLIA Number: 05D2036272
CLIA Cert. Type: Other - CANCER CENTER
CLIA Exp. Date: 02-05-2026

About MERCY MEDICAL GROUP, A SERVICE OF CHW MEDICAL FOUNDATION

This page provides the complete NPI Profile along with additional information for Mercy Medical Group, A Service Of Chw Medical Foundation, a provider established in El Dorado Hills, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1942430566 assigned on July 2009. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Mercy Medical Group, A Service Of Chw Medical Foundation. The authorized official of this NPI record is Theresa M Hylen (Chief Financial Officer)

NPI: 1942430566
Provider Legal Name: CHW MEDICAL FOUNDATION
Other Organization Name: MERCY MEDICAL GROUP, A SERVICE OF CHW MEDICAL FOUNDATION
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 4987 GOLDEN FOOTHILL PKWY EL DORADO HILLS, CA 95762
Location Phone: (916) 933-4222
Location Fax: (916) 933-5574
Mailing Address: 3000 Q ST SACRAMENTO, CA 95816
Mailing Phone: (916) 733-5701
Mailing Fax: (916) 933-5574
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 07-16-2009
Last Update Date: 11-18-2020
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Location Map

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: Clinic/Center Multi-Specialty
Taxonomy Code: 261QM1300X
Type: Ambulatory Health Care Facilities

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: THERESA M HYLEN
Authorized Official Title: CHIEF FINANCIAL OFFICER
Authorized Official Phone: (916) 851-2559

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: 05D2036272
Facility Type: Other - CANCER CENTER
Certificate Effective Date: February 06, 2024
Certificate Expiration Date: February 05, 2026
Laboratory Director: JOHN M. STEVENSON
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Mercy Medical Group, A Service Of Chw Medical Foundation 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.

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 1942430566, 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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 8

Pos 4

Unchanged

Pos 5

Doubled → 8

Pos 6

Unchanged

Pos 7

Doubled → 0

Pos 8

Unchanged

Pos 9

Doubled → 12 → 1 + 2

Check

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 4 → 8 4 → 8 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 8 + 2 + 8 + 3 + 0 + 5 + 1 + 2 + 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 1942430566.