HOPE MEDIVAN
NPI 1366799801
Clinic/Center in Modesto, CA

NPI Status: Active since August 14, 2012

Contact Information

1601 COFFEE RD
MODESTO, CA
ZIP 95355
Phone: (209) 529-7346
Fax: (209) 529-7034

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  • Organization
  • Clinic/Center

About HOPE MEDIVAN

This page provides the complete NPI Profile along with additional information for Hope Medivan, a provider established in Modesto, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1366799801 assigned on August 2012. The practitioner's primary taxonomy code is 261Q00000X with license number 550001116 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Hope Medivan. The authorized official of this NPI record is Dr. Manuel L Canga M.d. (Medical Director)

NPI
1366799801
Provider Legal Name
NINEVEH OUTREACH
Other Organization Name
HOPE MEDIVAN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1601 COFFEE RD MODESTO, CA 95355
Location Phone
(209) 529-7346
Location Fax
(209) 529-7034
Mailing Address
PO BOX 578901 MODESTO, CA 95357
Mailing Phone
(209) 529-7346
Mailing Fax
(209) 529-7034
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-14-2012
Last Update Date
08-14-2012
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
550001116
License State
CA
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

DR. MANUEL L CANGA M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(209) 529-7346

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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.
1366799801
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231261491880
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 4 + 9 + 1 + 8 + 8 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1366799801 is valid because the calculated check digit 1 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 1366799801, enumerated in the NPI registry as an "organization" on August 14, 2012

The provider is located at 1601 Coffee Rd Modesto, Ca 95355 and the phone number is (209) 529-7346

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on August 14, 2012. 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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