BILL MOORE COMMUNITY HEALTH CLINIC
NPI 1114963642
Clinic/Center - Community Health in Pasadena, CA
NPI Status: Active since June 22, 2006
Contact Information
1460 N LAKE AVE
PASADENA, CA
ZIP 91104
Phone: (626) 398-3796
Fax: (626) 398-3895
- Organization
- Clinic/Center
- Community Health
About BILL MOORE COMMUNITY HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Bill Moore Community Health Clinic, a primary care provider established in Pasadena, California operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1114963642 assigned on June 2006. The practitioner's primary taxonomy code is 261QC1500X with license number CMM70645F (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Bill Moore Community Health Clinic. The authorized official of this NPI record is Dr. Al Sorkin Ph.d. (Executive Director)
- NPI
- 1114963642
- Provider Legal Name
- URDC HUMAN SERVICES CORPORATION
- Other Organization Name
- BILL MOORE COMMUNITY HEALTH CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1460 N LAKE AVE PASADENA, CA 91104
- Location Phone
- (626) 398-3796
- Location Fax
- (626) 398-3895
- Mailing Address
- 1460 N LAKE AVE P.O. BOX 41274 PASADENA, CA 91104
- Mailing Phone
- (626) 398-3796
- Mailing Fax
- (626) 398-3895
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-22-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A primary care provider (PCP) like Bill Moore Community Health Clinic 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 Community Health
- Taxonomy Code
- 261QC1500X
- Type
- Ambulatory Health Care Facilities
- License No.
- CMM70645F
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CMM70645F | MEDICAID (05) | CA | |
| W16126 | OTHER (01) | PIN |
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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 | 1 | 1 | 4 | 9 | 6 | 3 | 6 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 18 | 6 | 6 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 8 + 6 + 6 + 6 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1114963642 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770766594 | VANESSA ANNWANETT KANISTANAUX Individual | Counselor (Addiction (Substance Use Disorder)) | 1460 N LAKE AVE SUITE 107 PASADENA, CA 91104 (626) 398-3796 |
| 1972789295 | MARNETTA KIMBELL Individual | Counselor (Addiction (Substance Use Disorder)) | 1460 N LAKE AVE SUITE 107 PASADENA, CA 91104 (626) 398-3796 |
| 1891963393 | URDC HUMAN SERVICES CORPORATION Organization | Clinic/Center (Community Health) | 1460 N LAKE AVE SUITE 107 PASADENA, CA 91104 (626) 398-3796 |
| 1902045123 | MS. LUCENDA BONNER LEWIS Individual | Student in an Organized Health Care Education/Training Program | 1460 N LAKE AVE SUITE 107 PASADENA, CA 91104 (626) 398-3796 |
| 1225355605 | DR. ARPI CHALIAN M.D. Individual | Pediatrics | 1460 N LAKE AVE PASADENA, CA 91104 (626) 398-3796 |
| 1811948540 | DR. ARTHUR MANOUKIAN M.D. Individual | Internal Medicine | 1460 N LAKE AVE # 105 PASADENA, CA 91104 (800) 792-2345 |
| 1124340906 | KRISTEN KO-SHIN YANG Individual | Counselor (Mental Health) | 1460 N LAKE AVE SUITE 101 PASADENA, CA 91104 (626) 296-7710 |
| 1568900124 | MR. PATRICK TSU-YUAN SOMERS Individual | Counselor (Mental Health) | 1460 N LAKE AVE SUITE 101 PASADENA, CA 91104 (626) 296-7710 |
| 1679014500 | MR. JUAN OTENNEY LPT Individual | Licensed Psychiatric Technician | 1460 N LAKE AVE PASADENA, CA 91104 (626) 294-1079 |
| 1750424321 | PACIFIC CLINICS Organization | Community/Behavioral Health | 1460 N LAKE AVE PASADENA, CA 91104 (626) 296-7710 |
| 1437337276 | PACIFIC CLINICS Organization | Community/Behavioral Health | 1460 N LAKE AVE PASADENA, CA 91104 (626) 463-1021 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114963642, enumerated in the NPI registry as an "organization" on June 22, 2006
The provider is located at 1460 N Lake Ave Pasadena, Ca 91104 and the phone number is (626) 398-3796
This medical organization specializes in Clinic/Center with taxonomy code 261QC1500X with a focus in Community Health
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 22, 2006. 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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