ULTIMATE MEDICAL PRACTICE A PROFESSIONAL CORPORATION
NPI 1962659573
Clinic/Center - Primary Care in Highland, CA
NPI Status: Active since August 26, 2008
Contact Information
3654 HIGHLAND AVE
SUITE 15
HIGHLAND, CA
ZIP 92346
Phone: (909) 864-1006
Fax: (909) 864-1625
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 05D1086304
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 12-17-2026
About ULTIMATE MEDICAL PRACTICE A PROFESSIONAL CORPORATION
This page provides the complete NPI Profile along with additional information for Ultimate Medical Practice A Professional Corporation, a primary care provider established in Highland, California operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1962659573 assigned on August 2008. The practitioner's primary taxonomy code is 261QP2300X with license number A55122 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Richard Kangah (Medical Director/president)
- NPI
- 1962659573
- Provider Name
- ULTIMATE MEDICAL PRACTICE A PROFESSIONAL CORPORATION
- Entity Type
- Organization
- Location Address
- 3654 HIGHLAND AVE SUITE 15 HIGHLAND, CA 92346
- Location Phone
- (909) 864-1006
- Location Fax
- (909) 864-1625
- Mailing Address
- 3654 HIGHLAND AVE SUITE 15 HIGHLAND, CA 92346
- Mailing Phone
- (909) 864-1006
- Mailing Fax
- (909) 864-1625
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-26-2008
- Last Update Date
- 03-04-2009
- Code Navigator
A primary care provider (PCP) like Ultimate Medical Practice A Professional Corporation sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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 Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License No.
- A55122
- License State
- CA
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
- 05D1086304
- Facility Type
- Community Clinic
- Certificate Effective Date
- December 18, 2024
- Certificate Expiration Date
- December 17, 2026
- Laboratory Director
- RICHARD KANGAH MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ultimate Medical Practice A Professional Corporation 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 1962659573, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962659573, enumerated as an "organization" on August 26, 2008.
The provider is located at 3654 HIGHLAND AVE SUITE 15 HIGHLAND, CA 92346 and the phone number is (909) 864-1006.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
