HUMBOLDT DEL NORTE INDEPENDENT PRACTICE ASSOCIATION
NPI 1457565152
Health Maintenance Organization in Eureka, CA

NPI Status: Active since May 10, 2007

Contact Information

2316 HARRISON AVE
EUREKA, CA
ZIP 95501
Phone: (707) 442-0478
Fax: (707) 443-2527

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  • Organization
  • Health Maintenance Organization
  • CLIA Number: 05D2000808
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 12-06-2025

About HUMBOLDT DEL NORTE INDEPENDENT PRACTICE ASSOCIATION

This page provides the complete NPI Profile along with additional information for Humboldt Del Norte Independent Practice Association, a provider established in Eureka, California operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1457565152 assigned on May 2007. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Humboldt Del Norte Independent Practice Association 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 Lisa Green (Executive Assistant)

NPI
1457565152
Provider Name
HUMBOLDT DEL NORTE INDEPENDENT PRACTICE ASSOCIATION
Entity Type
Organization
Location Address
2316 HARRISON AVE EUREKA, CA 95501
Location Phone
(707) 442-0478
Location Fax
(707) 443-2527
Mailing Address
2315 DEAN ST EUREKA, CA 95501
Mailing Phone
(707) 443-4563
Mailing Fax
(707) 443-2527
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2007
Last Update Date
09-14-2022
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Location Map

Secondary Locations

  • 2315 Dean St
    Eureka, CA 95501
    (707) 443-4563

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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

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:

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.

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

LISA GREEN

Authorized Official Title
EXECUTIVE ASSISTANT
Authorized Official Phone
(707) 267-9580

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
10180OTHER (01)CADEPT. MANAGEMENT HEALTHCA

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
05D2000808
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
December 07, 2023
Certificate Expiration Date
December 06, 2025
Laboratory Director
JOHN MASTRONI MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Humboldt Del Norte Independent Practice Association 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.

Reviews for HUMBOLDT DEL NORTE INDEPENDENT PRACTICE ASSOCIATION

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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.
1457565152
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2410710610110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 1 + 0 + 6 + 1 + 0 + 1 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1457565152 is valid because the calculated check digit 2 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
1417996240DR. CANDY A. STOCKTON-JORETEG M.D.
Individual
Family Medicine2316 HARRISON AVE
EUREKA, CA 95501
(074) 420-4787
1609251909 RACHEL ZIZZA RN
Individual
Nurse Practitioner (Family)2316 HARRISON AVE
EUREKA, CA 95501
(707) 442-0478
1730284332 KAREN JANE AYERS ACNP
Individual
Nurse Practitioner (Acute Care)2316 HARRISON AVE
EUREKA, CA 95501
(707) 442-0478
1609387661 MAURA THOENES BUCKLEY PA-C
Individual
Physician Assistant (Medical)2316 HARRISON AVE
EUREKA, CA 95501
(707) 442-0478
1295211969 LAUREN NICHOLE KARASEK NP
Individual
Nurse Practitioner (Family)2316 HARRISON AVE
EUREKA, CA 95501
(707) 442-0478
1952552762 PATRICIA LEE FISHER CFNP
Individual
Nurse Practitioner (Family)2316 HARRISON AVE
EUREKA, CA 95501
(707) 442-0478
1417053075 ALLEN SEBASTIAN MATHEW MD
Individual
Internal Medicine (Nephrology)2316 HARRISON AVE
EUREKA, CA 95501
(707) 444-2534
1780944579ALLEN S MATHEW MD
Organization
Internal Medicine (Nephrology)2316 HARRISON AVE
EUREKA, CA 95501
(707) 444-2534

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457565152, enumerated in the NPI registry as an "organization" on May 10, 2007

The provider is located at 2316 Harrison Ave Eureka, Ca 95501 and the phone number is (707) 442-0478

This medical organization specializes in Health Maintenance Organization with taxonomy code 302R00000X

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.

The provider's CLIA number is 05D2000808 for a "ambulatory surgery center" 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 May 10, 2007. 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.