CHANEL BOAL
NPI 1073089744
Student in an Organized Health Care Education/Training Program in San Dimas, CA

NPI Status: Active since October 19, 2018

Contact Information

762 CYPRESS ST
SAN DIMAS, CA
ZIP 91773
Phone: (909) 599-1227

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  • Individual
  • Female
  • Student in an Organized Health Care Educ...

About CHANEL BOAL

This page provides the complete NPI Profile along with additional information for Chanel Boal, a primary care provider established in San Dimas, California with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1073089744 assigned on October 2018. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1073089744
Provider Name
CHANEL BOAL
Gender
Female
Entity Type
Individual
Location Address
762 CYPRESS ST SAN DIMAS, CA 91773
Location Phone
(909) 599-1227
Mailing Address
762 CYPRESS ST SAN DIMAS, CA 91773
Mailing Phone
(909) 599-1227
Is Sole Proprietor?
Yes
Enumeration Date
10-19-2018
Last Update Date
09-09-2020
Code Navigator

A primary care provider (PCP) like Chanel Boal 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

Secondary Locations

  • 9500 Haven Ave Ste 100
    Rancho Cucamonga, CA 91730
    (909) 980-6700

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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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)
1171M00000XOther Service Providers

Case Manager/Care Coordinator

 

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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.
1073089744
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143081878
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 0 + 8 + 1 + 8 + 7 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1073089744 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1467652768 DANIEL TALLEY
Individual
Counselor (Mental Health)762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1427237213 TANYA MARIE CHALA
Individual
Residential Treatment Facility, Emotionally Disturbed Children762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1538348248 KELLIE JEAN WARREN B.A
Individual
Counselor (Mental Health)762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1831372747 JULIE NICOLE STASSART BA
Individual
Residential Treatment Facility, Emotionally Disturbed Children762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1316122310 DANIELLE SHEREE JACKSON
Individual
Counselor (Mental Health)762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1649503251 EMMANUEL MCCARTHY
Individual
Licensed Psychiatric Technician762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1134456015 CARL THOMAS TURNER
Individual
Licensed Psychiatric Technician762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1558693226 TINA WANG
Individual
Licensed Vocational Nurse762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1396066825 LATONYA D SANDER WEBSTER
Individual
Counselor (Mental Health)762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1821309550 DANA A MUSALLET
Individual
Counselor (Mental Health)762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 593-1227
1568778397 MARIAM BAIM
Individual
Counselor (Mental Health)762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1821399916 GENEVIEVE ANDRADE
Individual
Licensed Psychiatric Technician762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1942599980 KIMBERLY LENGGIERE
Individual
Counselor (Mental Health)762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1548512528 CHARA POWELL
Individual
Counselor (Mental Health)762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1659685824 VANESSA MILLER
Individual
Marriage & Family Therapist762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1538452032 PORSCHA CANNON
Individual
Rehabilitation Practitioner762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1912288721 STEPHANIE DESSELLE
Individual
Rehabilitation Practitioner762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1366715336 MANYA BOHANNON
Individual
Student in an Organized Health Care Education/Training Program762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1679847602 GONZALO PINEDO JR.
Individual
Rehabilitation Practitioner762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227
1205100294 REBECCA NELSON
Individual
Rehabilitation Practitioner762 CYPRESS ST
SAN DIMAS, CA 91773
(909) 599-1227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073089744, enumerated in the NPI registry as an "individual" on October 19, 2018

The provider is located at 762 Cypress St San Dimas, Ca 91773 and the phone number is (909) 599-1227

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

This NPI record was last updated on October 19, 2018. 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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