DEMA HEALTH
NPI 1265140875
Nurse Practitioner - Psychiatric/Mental Health in San Bernardino, CA

NPI Status: Active since November 11, 2022

Contact Information

699 W RIALTO AVE UNIT B
SAN BERNARDINO, CA
ZIP 92410
Phone: (312) 728-3509
Fax: (312) 312-7364

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About DEMA HEALTH

This page provides the complete NPI Profile along with additional information for Dema Health, a provider established in San Bernardino, California operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1265140875 assigned on November 2022. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Dema Health operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Dema Health. The authorized official of this NPI record is Mrs. Cassandra Govan (Ceo)

NPI
1265140875
Provider Legal Name
DEMA AGENCY CONSULTANTS LLC
Other Organization Name
DEMA HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
699 W RIALTO AVE UNIT B SAN BERNARDINO, CA 92410
Location Phone
(312) 728-3509
Location Fax
(312) 312-7364
Mailing Address
1074 PEACHTREE WALK NE UNIT B503 ATLANTA, GA 30309
Mailing Phone
(630) 880-2150
Mailing Fax
(312) 312-7364
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-11-2022
Last Update Date
02-14-2024
Code Navigator

A nurse practitioner (NP) like Dema Health is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 1074 Peachtree Walk NE Unit B503
    Atlanta, GA 30309
    (312) 728-3509
  • 1 E Erie St Ste 525-2903
    Chicago, IL 60611
    (312) 728-3509

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

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

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)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2103T00000XBehavioral Health & Social Service Providers

Psychologist

 
3261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MRS. CASSANDRA GOVAN

Authorized Official Title
CEO
Authorized Official Phone
(630) 880-2150

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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.
1265140875
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125240814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 2 + 4 + 0 + 8 + 1 + 4 + 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 1265140875 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265140875, enumerated in the NPI registry as an "organization" on November 11, 2022

The provider is located at 699 W Rialto Ave Unit B San Bernardino, Ca 92410 and the phone number is (312) 728-3509

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on November 11, 2022. 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.