AXIS COMMUNITY HEALTH INC
NPI 1124461397
Clinic/Center - Community Health in Pleasanton, CA
NPI Status: Active since April 08, 2013
Contact Information
4361 RAILROAD AVE
PLEASANTON, CA
ZIP 94566
Phone: (925) 968-9487
- Organization
- Clinic/Center
- Community Health
- CLIA Number: 05D0599579
- CLIA Cert. Type: Other - FQHC
- CLIA Exp. Date: 01-04-2027
About AXIS COMMUNITY HEALTH INC
This page provides the complete NPI Profile along with additional information for Axis Community Health Inc, a primary care provider established in Pleasanton, California operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1124461397 assigned on April 2013. The practitioner's primary taxonomy code is 261QC1500X with license number 22759 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Sue Compton (Ceo)
- NPI
- 1124461397
- Provider Name
- AXIS COMMUNITY HEALTH INC
- Entity Type
- Organization
- Location Address
- 4361 RAILROAD AVE PLEASANTON, CA 94566
- Location Phone
- (925) 968-9487
- Mailing Address
- 4361 RAILROAD AVE PLEASANTON, CA 94566
- Mailing Phone
- (925) 968-9487
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-08-2013
- Last Update Date
- 03-11-2020
- Code Navigator
A primary care provider (PCP) like Axis Community Health Inc 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.
- 22759
- License State
- CA
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
- 05D0599579
- Facility Type
- Other - FQHC
- Certificate Effective Date
- January 05, 2025
- Certificate Expiration Date
- January 04, 2027
- Laboratory Director
- DAWNELL MOODY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Axis Community Health Inc 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.
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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 | 2 | 4 | 4 | 6 | 1 | 3 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 8 | 6 | 2 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 8 + 6 + 2 + 3 + 1 + 8 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1124461397 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1083629455 | MS. BARBARA JEAN JULIER MD Individual | Family Medicine (Adult Medicine) | 4361 RAILROAD AVE PLEASANTON, CA 94566 (530) 748-8186 |
| 1063517498 | MS. :HOLLY AKLI LCSW Individual | Social Worker (Clinical) | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 201-6623 |
| 1649378928 | DR. MARYAM FORTANI Individual | Family Medicine | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 201-6021 |
| 1386742690 | MRS. JOHANNA HELEN KELLY LMFT Individual | Marriage & Family Therapist | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 201-6040 |
| 1316004641 | DR. CHARLES F WHITE MD Individual | Family Medicine | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 462-1755 |
| 1801078852 | MS. SHEILA LAU M.A., MFTI Individual | Marriage & Family Therapist | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 201-6209 |
| 1336321389 | MARIA ROSA MANTINEO M.A., MFTI Individual | Marriage & Family Therapist | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 201-6217 |
| 1306023965 | MRS. ESTHER MARIA NAJARRO MFTI Individual | Marriage & Family Therapist | 4361 RAILROAD AVE SUITE H PLEASANTON, CA 94566 (925) 462-5544 |
| 1891963088 | PATRICIA MCCORMACK Individual | Counselor | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 201-6240 |
| 1760650717 | HEATHER NOEL RODRIGUEZ Individual | Counselor (Addiction (Substance Use Disorder)) | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 201-6226 |
| 1770755357 | JUNE M. UNFRIED Individual | Counselor (Mental Health) | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 201-6200 |
| 1801059126 | REBECCA S. SLAUGHTER Individual | Counselor (Addiction (Substance Use Disorder)) | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 201-6004 |
| 1356507123 | MICHAEL A KELLAM Individual | Counselor (Addiction (Substance Use Disorder)) | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 201-6041 |
| 1720239544 | MS. MARIANNE DELLNER B.A. Individual | Marriage & Family Therapist | 4361 RAILROAD AVE SUITE H PLEASANTON, CA 94566 (925) 201-6200 |
| 1891026571 | MS. JODY ANN ALLEN Individual | Counselor (Addiction (Substance Use Disorder)) | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 201-6265 |
| 1376867341 | KATHY ARMANI RDN Individual | Dietitian, Registered | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 201-6268 |
| 1396865952 | JENNIFER L PENNEY PSYD Individual | Psychologist | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 201-6224 |
| 1285046557 | AMENNAH S. MOGHADDAM NP Individual | Nurse Practitioner | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 462-1755 |
| 1376760546 | AXIS COMMUNITY HEALTH INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 462-1755 |
| 1114144359 | AXIS COMMUNITY HEALTH INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 4361 RAILROAD AVE PLEASANTON, CA 94566 (925) 462-1755 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124461397, enumerated in the NPI registry as an "organization" on April 08, 2013
The provider is located at 4361 Railroad Ave Pleasanton, Ca 94566 and the phone number is (925) 968-9487
This medical organization specializes in Clinic/Center with taxonomy code 261QC1500X with a focus in Community Health
The provider's CLIA number is 05D0599579 for a "other - fqhc" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued 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..
This NPI record was last updated on April 08, 2013. 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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