LAKE ELSINORE FAMILY CARE CENTER
NPI 1396859179
Clinic/Center - Federally Qualified Health Center (FQHC) in Lake Elsinore, CA
NPI Status: Active since August 18, 2006
Contact Information
2499 E LAKESHORE DR
LAKE ELSINORE, CA
ZIP 92530
Phone: (951) 471-4200
Fax: (951) 471-4205
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
About LAKE ELSINORE FAMILY CARE CENTER
This page provides the complete NPI Profile along with additional information for Lake Elsinore Family Care Center, a primary care provider established in Lake Elsinore, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1396859179 assigned on August 2006. The practitioner's primary taxonomy code is 261QF0400X with license number 250000542 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is Lake Elsinore Family Care Center. The authorized official of this NPI record is Mrs. Koen Brown Rn, Msn (Deputy Director Ii)
- NPI
- 1396859179
- Provider Legal Name
- COUNTY OF RIVERSIDE
- Other Organization Name
- LAKE ELSINORE FAMILY CARE CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530
- Location Phone
- (951) 471-4200
- Location Fax
- (951) 471-4205
- Mailing Address
- PO BOX 7849 RIVERSIDE, CA 92513
- Mailing Phone
- (951) 358-5222
- Mailing Fax
- (951) 471-4205
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-18-2006
- Last Update Date
- 06-12-2009
- Code Navigator
A primary care provider (PCP) like Lake Elsinore Family Care Center 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
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
- License No.
- 250000542
- License State
- CA
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 | 251K00000X | Agencies | Public Health or Welfare |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| BCP70724F | OTHER (01) | CA | CANCER DETECTION PROGRAM |
| 55-1831 | MEDICARE ID-TYPE UNSPECIFIED (04) | CA | MEDICARE PART A- UGS |
| FHC70724F | MEDICAID (05) | CA | |
| HAP70724F | OTHER (01) | CA | FAMILY PACT |
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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 | 9 | 6 | 8 | 5 | 9 | 1 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 16 | 5 | 18 | 1 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 6 + 5 + 1 + 8 + 1 + 1 + 4 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1396859179 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518148576 | MR. CRAIG DEMERS Individual | Registered Nurse (Community Health) | 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530 (951) 471-4221 |
| 1831370303 | MRS. ILIAM AMALIA CISNEROS Individual | Registered Nurse (Community Health) | 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530 (951) 471-4224 |
| 1952584559 | MS. SHARRON LEE SCHRENK RN Individual | Registered Nurse (Community Health) | 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530 (951) 471-4227 |
| 1821258922 | SANDAR KYI MD Individual | Clinic/Center (Primary Care) | 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530 (951) 471-4200 |
| 1730625294 | STEPHANIE ANN ELLIS LCSW Individual | Social Worker (Clinical) | 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530 (951) 471-4224 |
| 1033122601 | MR. MICHAEL C LAM M.D. Individual | Internal Medicine | 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530 (951) 471-4200 |
| 1063493054 | COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY Organization | Family Medicine | 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530 (951) 674-3250 |
| 1396726378 | COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY Organization | Family Medicine | 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530 (951) 674-3250 |
| 1407925209 | MR. REGINALD R PETERS P.A. Individual | Physician Assistant | 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530 (951) 471-4200 |
| 1508884354 | COUNTY OF RIVERSIDE- COMMUNITY HEALTH AGENCY Organization | Family Medicine | 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530 (951) 471-4200 |
| 1790776029 | COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY Organization | Internal Medicine | 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530 (951) 674-3250 |
| 1770200701 | REBEKAH KATHLEEN PADILLA RDN Individual | Dietitian, Registered | 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530 (951) 358-5311 |
| 1518703859 | BRENDA DIAZ Individual | Marriage & Family Therapist | 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530 (951) 471-0042 |
| 1982599775 | JARREN-CHRISTOPHER NEGRANZA HO SEE Individual | Student in an Organized Health Care Education/Training Program | 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530 (951) 471-4200 |
| 1366184418 | MAWJ MUSTAFA KAMAL AL ANI Individual | Family Medicine | 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530 (951) 471-4200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396859179, enumerated in the NPI registry as an "organization" on August 18, 2006
The provider is located at 2499 E Lakeshore Dr Lake Elsinore, Ca 92530 and the phone number is (951) 471-4200
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: Medicare and Medicaid. 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 August 18, 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].
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.