JERRY CHAN
NPI 1013796069
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA
NPI Status: Active since September 27, 2023
Contact Information
1149 N D ST
SAN BERNARDINO, CA
ZIP 92410
Phone: (909) 884-0840
- Individual
- Male
- Counselor
- Addiction (Substance Use Disorder)
About JERRY CHAN
This page provides the complete NPI Profile along with additional information for Jerry Chan, a provider established in San Bernardino, California with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1013796069 assigned on September 2023. The practitioner's primary taxonomy code is 101YA0400X with license number A020971015 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1013796069
- Provider Name
- JERRY CHAN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1149 N D ST SAN BERNARDINO, CA 92410
- Location Phone
- (909) 884-0840
- Mailing Address
- 1100 N D ST SAN BERNARDINO, CA 92410
- Mailing Phone
- (909) 381-3774
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-27-2023
- Last Update Date
- 09-27-2023
- Code Navigator
A Substance Abuse or Addiction Counselor like Jerry Chan advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
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
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- A020971015
- License State
- CA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 7 | 9 | 6 | 0 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 14 | 9 | 12 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 1 + 4 + 9 + 1 + 2 + 0 + 1 + 2 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1013796069 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487879367 | MR. FRANK AURELIO SILVA CCAPP Individual | Counselor (Addiction (Substance Use Disorder)) | 1149 N D ST SAN BERNARDINO, CA 92410 (909) 571-6035 |
| 1578812046 | KELLY LIEBEL Individual | Counselor (Addiction (Substance Use Disorder)) | 1149 N D ST SAN BERNARDINO, CA 92410 (909) 571-6035 |
| 1033314539 | ARTHUR WILLIAMS Individual | Counselor (Addiction (Substance Use Disorder)) | 1149 N D ST SAN BERNARDINO, CA 92410 (909) 571-6035 |
| 1740967652 | BRANDON CORNEL LIGON Individual | Counselor (Addiction (Substance Use Disorder)) | 1149 N D ST SAN BERNARDINO, CA 92410 (909) 571-6035 |
| 1114573953 | EDUARDO RUIZ Individual | Counselor (Addiction (Substance Use Disorder)) | 1149 N D ST SAN BERNARDINO, CA 92410 (909) 884-0840 |
| 1427246214 | ISAAC CABALLERO Individual | Counselor (Addiction (Substance Use Disorder)) | 1149 N D ST SAN BERNARDINO, CA 92410 (909) 381-3774 |
| 1871128843 | JOHNNY ANGEL MELENDEZ Individual | Counselor (Addiction (Substance Use Disorder)) | 1149 N D ST SAN BERNARDINO, CA 92410 (909) 571-6035 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013796069, enumerated in the NPI registry as an "individual" on September 27, 2023
The provider is located at 1149 N D St San Bernardino, Ca 92410 and the phone number is (909) 884-0840
The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
This NPI record was last updated on September 27, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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