M A C T HEALTH BOARD INCORPORATED
NPI 1366519431
Clinic/Center - Federally Qualified Health Center (FQHC) in San Andreas, CA
NPI Status: Active since November 30, 2006
Contact Information
1113 HIGHWAY 49
SAN ANDREAS, CA
ZIP 95249
Phone: (209) 754-6262
Fax: (209) 674-6211
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
About M A C T HEALTH BOARD INCORPORATED
This page provides the complete NPI Profile along with additional information for M A C T Health Board Incorporated, a primary care provider established in San Andreas, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1366519431 assigned on November 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated July 2025. M A C T Health Board Incorporated operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is John Alexander (Executive Director)
- NPI
- 1366519431
- Provider Name
- M A C T HEALTH BOARD INCORPORATED
- Entity Type
- Organization
- Location Address
- 1113 HIGHWAY 49 SAN ANDREAS, CA 95249
- Location Phone
- (209) 754-6262
- Location Fax
- (209) 674-6211
- Mailing Address
- PO BOX 939 ANGELS CAMP, CA 95222
- Mailing Phone
- (209) 754-6262
- Mailing Fax
- (209) 674-6211
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-30-2006
- Last Update Date
- 07-14-2025
- Code Navigator
A primary care provider (PCP) like M A C T Health Board Incorporated 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
Secondary Locations
- 13975 Mono Way Ste J
Sonora, CA 95370
(209) 588-4640 - 1113A Highway 49
San Andreas, CA 95249
(209) 755-1480 - 19177 State Highway 120
Groveland, CA 95321
(209) 754-6262 - 367 Creekside Dr
Bear Valley, CA 95223
(209) 562-0899 - 321 State Highway 49
Sutter Creek, CA 95685
(209) 257-2480 - 305 Preston Ave
Ione, CA 95640
(209) 674-6182 - 12140 New York Ranch Rd
Jackson, CA 95642
(209) 257-2400 - 1906 Vista Del Lago Dr
Valley Springs, CA 95252
(209) 755-1490 - 905 Morning Star Dr
Sonora, CA 95370
(209) 533-9600 - 13975 Mono Way Ste G
Sonora, CA 95370
(209) 533-9600 - 940 Sylva Ln Ste A
Sonora, CA 95370
(209) 288-6502 - 940 Sylva Ln Ste B
Sonora, CA 95370
(209) 288-6530 - 940 Sylva Ln Ste H
Sonora, CA 95370
(209) 532-4123 - 5192 Hospital Rd
Mariposa, CA 95338
(209) 742-6144
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 Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 2 | 172V00000X | Other Service Providers | Community Health Worker | |
| 3 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | 550000678 (CA) |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for M A C T HEALTH BOARD INCORPORATED
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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 | 6 | 6 | 5 | 1 | 9 | 4 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 10 | 1 | 18 | 4 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 0 + 1 + 1 + 8 + 4 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1366519431 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740251727 | GABRIEL R PETTERSEN MD Individual | Internal Medicine | 1113 HIGHWAY 49 SAN ANDREAS, CA 95249 (209) 755-1400 |
| 1740587229 | WENDY J CARVAJAL DDS Individual | Dentist | 1113 HIGHWAY 49 SAN ANDREAS, CA 95249 (209) 755-1460 |
| 1578040135 | TRACY MY NGO Individual | Dentist | 1113 HIGHWAY 49 SAN ANDREAS, CA 95249 (209) 755-1460 |
| 1336857580 | COLLETTE HOWARD CMT Individual | Massage Therapist | 1113 HIGHWAY 49 SAN ANDREAS, CA 95249 (209) 755-1400 |
| 1891360111 | FAWAD ZADRAN OD Individual | Optometrist | 1113 HIGHWAY 49 SAN ANDREAS, CA 95249 (209) 755-1480 |
| 1174816425 | DR. SUSAN MARGARET ABELDT D.D.S. Individual | Dentist (General Practice) | 1113 HIGHWAY 49 STE A SAN ANDREAS, CA 95249 (209) 755-1460 |
| 1902248214 | MS. SARA M RAY LCSW Individual | Social Worker (Clinical) | 1113 HIGHWAY 49 SAN ANDREAS, CA 95249 (209) 755-1480 |
| 1689456311 | KAREN ORBETA DNP, FNP-C Individual | Nurse Practitioner (Family) | 1113 HIGHWAY 49 SAN ANDREAS, CA 95249 (209) 755-1400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366519431, enumerated in the NPI registry as an "organization" on November 30, 2006
The provider is located at 1113 Highway 49 San Andreas, Ca 95249 and the phone number is (209) 754-6262
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 30, 2006. 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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