PREMISE HEALTH WELLNESS CENTER- OAKLAND
NPI 1356095467
Clinic/Center - Multi-Specialty in Oakland, CA
NPI Status: Active since February 08, 2022
Contact Information
2201 BROADWAY STE 101
OAKLAND, CA
ZIP 94612
Phone: (510) 473-8700
Fax: (510) 473-8081
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 05D2265918
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-02-2026
About PREMISE HEALTH WELLNESS CENTER- OAKLAND
This page provides the complete NPI Profile along with additional information for Premise Health Wellness Center- Oakland, a provider established in Oakland, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1356095467 assigned on February 2022. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Premise Health Wellness Center- Oakland. The authorized official of this NPI record is Jon Leizman (President)
- NPI
- 1356095467
- Provider Legal Name
- PREMISE HEALTH OF CALIFORNIA MEDICAL PC
- Other Organization Name
- PREMISE HEALTH WELLNESS CENTER- OAKLAND
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2201 BROADWAY STE 101 OAKLAND, CA 94612
- Location Phone
- (510) 473-8700
- Location Fax
- (510) 473-8081
- Mailing Address
- 5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2022
- Last Update Date
- 10-24-2024
- Code Navigator
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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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
- 05D2265918
- Facility Type
- Physician Office
- Certificate Effective Date
- August 03, 2024
- Certificate Expiration Date
- August 02, 2026
- Laboratory Director
- ANURUDDH K. MISRA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premise Health Wellness Center- Oakland 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.
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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 | 3 | 5 | 6 | 0 | 9 | 5 | 4 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 0 | 9 | 10 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 0 + 9 + 1 + 0 + 4 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1356095467 is valid because the calculated check digit 7 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 1356095467, enumerated in the NPI registry as an "organization" on February 08, 2022
The provider is located at 2201 Broadway Ste 101 Oakland, Ca 94612 and the phone number is (510) 473-8700
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider's CLIA number is 05D2265918 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 February 08, 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].
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