MRS. ANN MARIE MONICA CLARK
NPI 1962945675
Assisted Living Facility - Assisted Living, Mental Illness in San Bernardino, CA

NPI Status: Active since November 29, 2016

Contact Information

3524 ACACIA AVENUE
SAN BERNARDINO, CA
ZIP 92405
Phone: (909) 352-6701

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  • Individual
  • Female
  • Assisted Living Facility
  • Assisted Living, Mental Illness

About ANN MARIE CLARK

This page provides the complete NPI Profile along with additional information for Ann Marie Clark, a provider established in San Bernardino, California with a medical specialization in Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1962945675 assigned on November 2016. The practitioner's primary taxonomy code is 3104A0625X. The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1962945675
Provider Name
MRS. ANN MARIE MONICA CLARK
Other Name
MRS. ANN MARIE MONICA LORING
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
3524 ACACIA AVENUE SAN BERNARDINO, CA 92405
Location Phone
(909) 352-6701
Mailing Address
1651 N. RIVERSIDE AVE #124 RIALTO, CA 92376
Mailing Phone
(909) 528-7061
Is Sole Proprietor?
Yes
Enumeration Date
11-29-2016
Last Update Date
11-29-2016
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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

Assisted Living Facility Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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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 1962945675, 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
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 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 9 → 18 → 9 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 1 + 8 + 4 + 1 + 0 + 6 + 1 + 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 1962945675.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962945675, enumerated as an "individual" on November 29, 2016.

The provider is located at 3524 ACACIA AVENUE SAN BERNARDINO, CA 92405 and the phone number is (909) 352-6701.

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.