AGELESS HEALTH GROUP, A PROFESSIONAL CORP NURSING
NPI 1033829478
Clinic/Center - Multi-Specialty in Ontario, CA
NPI Status: Active since November 28, 2022
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 05D2307814
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 07-15-2026
About AGELESS HEALTH GROUP, A PROFESSIONAL CORP NURSING
This page provides the complete NPI Profile along with additional information for Ageless Health Group, A Professional Corp Nursing, a provider established in Ontario, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1033829478 assigned on November 2022. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Sonia Yenitza Rodrigues Fnp-c (Ceo)
- NPI
- 1033829478
- Provider Name
- AGELESS HEALTH GROUP, A PROFESSIONAL CORP NURSING
- Entity Type
- Organization
- Location Address
- 703 E E ST ONTARIO, CA 91764
- Location Phone
- (909) 435-4707
- Mailing Address
- 703 E E ST ONTARIO, CA 91764
- Mailing Phone
- (909) 435-4707
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-28-2022
- Last Update Date
- 11-28-2022
- Code Navigator
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
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3140N1450X | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
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
- 05D2307814
- Facility Type
- Practitioner Other
- Certificate Effective Date
- July 16, 2024
- Certificate Expiration Date
- July 15, 2026
- Laboratory Director
- LUCIEN ALEXANDRE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ageless Health Group, A Professional Corp Nursing 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 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 | 3 | 3 | 8 | 2 | 9 | 4 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 16 | 2 | 18 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 1 + 6 + 2 + 1 + 8 + 4 + 1 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1033829478 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124895164 | ISABELLE WILCOX FNP-C Individual | Nurse Practitioner (Family) | 703 E E ST ONTARIO, CA 91764 (909) 435-4707 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033829478, enumerated in the NPI registry as an "organization" on November 28, 2022
The provider is located at 703 E E St Ontario, Ca 91764 and the phone number is (909) 435-4707
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider's CLIA number is 05D2307814 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on November 28, 2022. 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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