BREANNA N CLARK
NPI 1356124150
Community Health Worker in Vallejo, CA

NPI Status: Active since August 15, 2023

Contact Information

160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA
ZIP 94591
Phone: (707) 648-2000

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  • Individual
  • Female
  • Community Health Worker

About BREANNA CLARK

This page provides the complete NPI Profile along with additional information for Breanna Clark, a provider established in Vallejo, California with a medical specialization in Community Health Worker. The healthcare provider is registered in the NPI registry with number 1356124150 assigned on August 2023. The practitioner's primary taxonomy code is 172V00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1356124150
Provider Name
BREANNA N CLARK
Gender
Female
Entity Type
Individual
Location Address
160 GLEN COVE MARINA RD E STE 102 VALLEJO, CA 94591
Location Phone
(707) 648-2000
Mailing Address
160 GLEN COVE MARINA RD E STE 102 VALLEJO, CA 94591
Is Sole Proprietor?
No
Enumeration Date
08-15-2023
Last Update Date
08-15-2023
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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

Community Health Worker

Taxonomy Code
172V00000X
Type
Other Service Providers
Taxonomy Description
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

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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.
1356124150
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23106228110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 2 + 2 + 8 + 1 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1356124150 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417054321DR. ANTHONY J LOPRESTI D.O.
Individual
Family Medicine160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(707) 638-5700
1134852205 KARINA CAMPOS
Individual
Community Health Worker160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(510) 910-6904
1902395031 ROSA MARIA HERNANDEZ
Individual
Case Manager/Care Coordinator160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(510) 821-4644
1114428109 JERRICA NADINE BENEDIX
Individual
Case Manager/Care Coordinator160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(707) 978-0347
1487438198 SOPHIA RENEE HERNANDEZ
Individual
Community Health Worker160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(707) 648-2000
1780467589 JACKQUELINE MEDINA
Individual
Case Manager/Care Coordinator160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(707) 648-2000
1043084486 AZRA MIRZA
Individual
Community Health Worker160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(707) 648-2000
1962244327 BIANCA CASTELLANOS
Individual
Community Health Worker160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(707) 648-2000
1649091349 DIONNE SHARICE GOREE
Individual
Community Health Worker160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(707) 648-2000
1932920154 JENNIFER M PRECIADO
Individual
Case Manager/Care Coordinator160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(707) 648-2000
1730957374 PERSEPHONE JOHNSON-MCGOWAN
Individual
Community Health Worker160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(707) 648-2000
1023764594 IKE LENARD DAVIS JR.
Individual
Counselor (Mental Health)160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(707) 648-2000
1073312377MR. PERLESS DANIELS JEFFERSON
Individual
Community Health Worker160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(707) 648-2000
1255130084 SEDALIA EVANS
Individual
Community Health Worker160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(707) 648-2000
1619776986 JOSE PONSSA
Individual
Community Health Worker160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(707) 648-2000
1669272340 GRACIELA MENDEZ
Individual
Case Manager/Care Coordinator160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(707) 648-2000
1306645650 AREANNA DELONEY
Individual
Rehabilitation Practitioner160 GLEN COVE MARINA RD E STE 102
VALLEJO, CA 94591
(707) 648-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356124150, enumerated in the NPI registry as an "individual" on August 15, 2023

The provider is located at 160 Glen Cove Marina Rd E Ste 102 Vallejo, Ca 94591 and the phone number is (707) 648-2000

The provider's speciality is Community Health Worker with taxonomy code 172V00000X

This NPI record was last updated on August 15, 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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