EVCHC - PROTOTYPES
NPI 1972844272
Clinic/Center - Federally Qualified Health Center (FQHC) in Pomona, CA

NPI Status: Active since March 12, 2013

Contact Information

831 E ARROW HWY
POMONA, CA
ZIP 91767
Phone: (626) 919-4333
Fax: (626) 919-2084

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 05D0703791
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 12-03-2026

About EVCHC - PROTOTYPES

This page provides the complete NPI Profile along with additional information for Evchc - Prototypes, a primary care provider established in Pomona, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1972844272 assigned on March 2013. The practitioner's primary taxonomy code is 261QF0400X with license number 960000210 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Evchc - Prototypes. The authorized official of this NPI record is Alicia Mardini (Chief Executive Officer)

NPI
1972844272
Provider Legal Name
EAST VALLEY COMMUNITY HEALTH CENTER, INC.
Other Organization Name
EVCHC - PROTOTYPES
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
831 E ARROW HWY POMONA, CA 91767
Location Phone
(626) 919-4333
Location Fax
(626) 919-2084
Mailing Address
420 S GLENDORA AVE WEST COVINA, CA 91790
Mailing Phone
(626) 919-4333
Mailing Fax
(626) 919-2084
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2013
Last Update Date
03-12-2013
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A primary care provider (PCP) like Evchc - Prototypes 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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License No.
960000210
License State
CA

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

ALICIA MARDINI

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(626) 919-4333

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
05D0703791
Facility Type
Federally Qualified Health Center
Certificate Effective Date
December 04, 2024
Certificate Expiration Date
December 03, 2026
Laboratory Director
CHINHNAM HATHUC
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Evchc - Prototypes in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for EVCHC - PROTOTYPES

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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 1972844272, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 8 → 16 → 7 4 → 8 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 + 4 + 2 + 1 + 6 + 4 + 8 + 2 + 1 + 4 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1972844272.

Other Providers at the Same Location


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

Counselor (Mental Health)
831 E ARROW HWY
POMONA, CA 91767
Community/Behavioral Health
831 E ARROW HWY
POMONA, CA 91767
Specialist (Research Study)
831 E ARROW HWY
POMONA, CA 91767
Counselor (Addiction (Substance Use Disorder))
831 E ARROW HWY
POMONA, CA 91767
Counselor (Addiction (Substance Use Disorder))
831 E ARROW HWY
POMONA, CA 91767
Counselor (Addiction (Substance Use Disorder))
831 E ARROW HWY
POMONA, CA 91767
Counselor (Addiction (Substance Use Disorder))
831 E ARROW HWY
POMONA, CA 91767
Counselor (Addiction (Substance Use Disorder))
831 E ARROW HWY
POMONA, CA 91767
Marriage & Family Therapist
831 E ARROW HWY
POMONA, CA 91767
Counselor (Addiction (Substance Use Disorder))
831 E ARROW HWY
POMONA, CA 91767
Counselor (Mental Health)
831 E ARROW HWY
POMONA, CA 91767
Case Manager/Care Coordinator
831 E ARROW HWY
POMONA, CA 91767
Case Manager/Care Coordinator
831 E ARROW HWY
POMONA, CA 91767
Social Worker (Clinical)
831 E ARROW HWY
POMONA, CA 91767
Clinic/Center (Federally Qualified Health Center (FQHC))
831 E ARROW HWY
POMONA, CA 91767
Case Manager/Care Coordinator
831 E ARROW HWY
POMONA, CA 91767
Case Manager/Care Coordinator
831 E ARROW HWY
POMONA, CA 91767
Case Manager/Care Coordinator
831 E ARROW HWY
POMONA, CA 91767
Rehabilitation Practitioner
831 E ARROW HWY
POMONA, CA 91767
Case Manager/Care Coordinator
831 E ARROW HWY
POMONA, CA 91767

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972844272, enumerated as an "organization" on March 12, 2013.

The provider is located at 831 E ARROW HWY POMONA, CA 91767 and the phone number is (626) 919-4333.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).