CLINICA AGUA VIVA-WOODLAKE
NPI 1174237135
Family Medicine in Woodlake, CA

NPI Status: Active since January 12, 2023

Contact Information

101 N PALM ST
WOODLAKE, CA
ZIP 93286
Phone: (559) 564-1100
Fax: (559) 789-9828

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  • Organization
  • Family Medicine

About CLINICA AGUA VIVA-WOODLAKE

This page provides the complete NPI Profile along with additional information for Clinica Agua Viva-woodlake, a primary care provider established in Woodlake, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1174237135 assigned on January 2023. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Clinica Agua Viva-woodlake. The authorized official of this NPI record is Brandy Leyva (Associate Director)

NPI
1174237135
Provider Legal Name
ERICK MADRIGAL, MD, MBA INC.
Other Organization Name
CLINICA AGUA VIVA-WOODLAKE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
101 N PALM ST WOODLAKE, CA 93286
Location Phone
(559) 564-1100
Location Fax
(559) 789-9828
Mailing Address
222 W HENDERSON AVE PORTERVILLE, CA 93257
Mailing Phone
(559) 784-5483
Mailing Fax
(559) 789-9828
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-12-2023
Last Update Date
08-02-2024
Code Navigator

A primary care provider (PCP) like Clinica Agua Viva-woodlake 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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

 

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

BRANDY LEYVA

Authorized Official Title
ASSOCIATE DIRECTOR
Authorized Official Phone
(559) 719-8108

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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.
1174237135
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144431416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 4 + 3 + 1 + 4 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1174237135 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215900733 PAUL F. AYSON D.D.S.
Individual
Dentist101 N PALM ST
WOODLAKE, CA 93286
(559) 564-0100
1821521857 MARISA ANN STOFFEL R.D.H
Individual
Dental Hygienist101 N PALM ST
WOODLAKE, CA 93286
(559) 564-1100
1386077857CLINICA EL LAGO INC
Organization
Clinic/Center (Rural Health)101 N PALM ST
WOODLAKE, CA 93286
(559) 564-1100
1598775934 ARTHUR MOLINA MD
Individual
General Practice101 N PALM ST
WOODLAKE, CA 93286
(559) 564-1100
1992850291MRS. ALMA CEJA CORVERA P.A.
Individual
Physician Assistant101 N PALM ST
WOODLAKE, CA 93286
(559) 564-1100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174237135, enumerated in the NPI registry as an "organization" on January 12, 2023

The provider is located at 101 N Palm St Woodlake, Ca 93286 and the phone number is (559) 564-1100

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

This NPI record was last updated on January 12, 2023. 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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