FREEDOM CHOICE CLINIC
NPI 1164968178
Clinic/Center - Primary Care in San Jose, CA

NPI Status: Active since January 13, 2017

Contact Information

2690 S WHITE RD
SUITE 95
SAN JOSE, CA
ZIP 95148
Phone: (408) 223-8080

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 05D2131285
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-24-2025

About FREEDOM CHOICE CLINIC

This page provides the complete NPI Profile along with additional information for Freedom Choice Clinic, a primary care provider established in San Jose, California operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1164968178 assigned on January 2017. The practitioner's primary taxonomy code is 261QP2300X with license number A101639 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Freedom Choice Clinic. The authorized official of this NPI record is Mr. Miguel A Darantes Md (Medical Director/owner)

NPI
1164968178
Provider Legal Name
FREEDOM CHOICE HEALTHCARE INC
Other Organization Name
FREEDOM CHOICE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2690 S WHITE RD SUITE 95 SAN JOSE, CA 95148
Location Phone
(408) 223-8080
Mailing Address
2690 S. WHITE RD #20 SAN JOSE, CA 95148
Mailing Phone
(408) 223-8080
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-13-2017
Last Update Date
03-10-2022
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A primary care provider (PCP) like Freedom Choice 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 Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
A101639
License State
CA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MIGUEL A DARANTES MD

Authorized Official Title
MEDICAL DIRECTOR/OWNER
Authorized Official Phone
(408) 223-8080

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
05D2131285
Facility Type
Physician Office
Certificate Effective Date
May 25, 2023
Certificate Expiration Date
May 24, 2025
Laboratory Director
DANIEL, J. REYES-VILLA, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Freedom Choice Clinic 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.

Reviews for FREEDOM CHOICE CLINIC

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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.
1164968178
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2112418616114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 8 + 6 + 1 + 6 + 1 + 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 = 88

The NPI number 1164968178 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 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548202849GOLDEN HILLS OPTOMETRY, INC.
Organization
Optometrist2690 S WHITE RD SUITE 255
SAN JOSE, CA 95148
(408) 274-9090
1467497891MEDICAL OFFICES OF SHASHWATI.S.KALE
Organization
Family Medicine2690 S WHITE RD SUITE200,
SAN JOSE, CA 95148
(408) 223-8228
1528097219 FRANK C. BURGER O.D.
Individual
Optometrist2690 S WHITE RD SUITE 255
SAN JOSE, CA 95148
(408) 274-9090
1861415374 DONALD SIAO MD
Individual
Family Medicine2690 S WHITE RD SUITE 200
SAN JOSE, CA 95148
(408) 223-7771
1306944459DR. SHASHWATI SHARAD KALE M.D.
Individual
Family Medicine2690 S WHITE RD SUITE #200
SAN JOSE, CA 95148
(408) 223-8228
1336298132 TERESITA LAYUG DIZON D.M.D.
Individual
Dentist (General Practice)2690 S WHITE RD SUITE 90
SAN JOSE, CA 95148
(408) 223-7414
1770709297DR. LAM H. DINH D.C.
Individual
Chiropractor2690 S WHITE RD STE. 40
SAN JOSE, CA 95148
(408) 532-1130
1518121797NHON D LAM CHIROPRACTIC CORPORATION
Organization
Chiropractor2690 S WHITE RD SUITE 40
SAN JOSE, CA 95148
(408) 532-1130
1710293634MS. YING YANG L.A.C.
Individual
Acupuncturist2690 S WHITE RD SUITE 80
SAN JOSE, CA 95148
(408) 893-1177
1578766002DONALD SIAO, MD, A MEDICAL CORPORATION
Organization
Family Medicine2690 S WHITE RD SUITE #200
SAN JOSE, CA 95148
(408) 223-7771
1063861466DR. KEVIN DANG PHARM.D
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)2690 S WHITE RD SUITE 200-A
SAN JOSE, CA 95148
(408) 270-0670
1396933545EVERGREEN PHARMACY INC
Organization
Pharmacy (Community/Retail Pharmacy)2690 S WHITE RD STE 200A
SAN JOSE, CA 95148
(408) 270-0670
1659678712 JAVIER ESQUIVEL-ACOSTA PA
Individual
Physician Assistant (Medical)2690 S WHITE RD SUITE 95
SAN JOSE, CA 95148
(408) 223-8080
1871523670SANDRA TORRES MD, MEDICAL CORPORATION
Organization
Clinic/Center (Primary Care)2690 S WHITE RD SUITE 200
SAN JOSE, CA 95148
(408) 223-8080
1396949822EVERGREEN HILLS MEDICAL GROUP
Organization
Clinic/Center (Medical Specialty)2690 S WHITE RD SUITE 200
SAN JOSE, CA 95148
(408) 223-7771
1447458138DR. MARILYN TIN WONG MD
Individual
Internal Medicine2690 S WHITE RD 200
SAN JOSE, CA 95148
(408) 223-8118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164968178, enumerated in the NPI registry as an "organization" on January 13, 2017

The provider is located at 2690 S White Rd Suite 95 San Jose, Ca 95148 and the phone number is (408) 223-8080

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider's CLIA number is 05D2131285 for a "physician office" 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 January 13, 2017. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.