JACQUELYN SHADER
NPI 1477115897
Student in an Organized Health Care Education/Training Program in Long Beach, CA

NPI Status: Active since July 05, 2019

Contact Information

1301 PINE AVE
LONG BEACH, CA
ZIP 90813
Phone: (562) 595-1195

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  • Individual
  • Female
  • Student in an Organized Health Care Educ...

About JACQUELYN SHADER

This page provides the complete NPI Profile along with additional information for Jacquelyn Shader, a primary care provider established in Long Beach, California with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1477115897 assigned on July 2019. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1477115897
Provider Name
JACQUELYN SHADER
Gender
Female
Entity Type
Individual
Location Address
1301 PINE AVE LONG BEACH, CA 90813
Location Phone
(562) 595-1195
Mailing Address
21065 VIA TOLEDO YORBA LINDA, CA 92887
Mailing Phone
(714) 313-3610
Is Sole Proprietor?
No
Enumeration Date
07-05-2019
Last Update Date
07-05-2019
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A primary care provider (PCP) like Jacquelyn Shader 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 .

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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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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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.
1477115897
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241472110818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 2 + 1 + 1 + 0 + 8 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1477115897 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861814956 CLAIRE KANIEWSKI
Individual
Marriage & Family Therapist1301 PINE AVE
LONG BEACH, CA 90813
(562) 595-1159
1013036854DR. MINDY MUELLER PSYD
Individual
Psychologist (Clinical)1301 PINE AVE
LONG BEACH, CA 90813
(562) 216-1713
1083881197DR. JOSEPH EDWARD DE LUNA PSY.D., RPT
Individual
Psychologist (Clinical)1301 PINE AVE
LONG BEACH, CA 90813
(562) 485-3085
1366606642MR. RAUL CASTORENA
Individual
Case Manager/Care Coordinator1301 PINE AVE
LONG BEACH, CA 90813
(714) 606-1727
1124278197MS. CAROLINA M SAGASTUME
Individual
Marriage & Family Therapist1301 PINE AVE
LONG BEACH, CA 90813
(562) 485-3073
1760634844MS. JEANETTE SANCHEZ
Individual
Counselor (Mental Health)1301 PINE AVE
LONG BEACH, CA 90813
(562) 595-1159
1891927257 AMBER COOK
Individual
Counselor (Mental Health)1301 PINE AVE
LONG BEACH, CA 90813
(562) 595-1159
1730479213 CARLY A.W. COLLINS
Individual
Counselor (Mental Health)1301 PINE AVE
LONG BEACH, CA 90813
(562) 485-3098
1639517402 JOHN JACOB LOEFFLER M.A.
Individual
Student in an Organized Health Care Education/Training Program1301 PINE AVE
LONG BEACH, CA 90813
(562) 595-1159
1619247368 LARCHELLE CHERRICE GRAY
Individual
Student in an Organized Health Care Education/Training Program1301 PINE AVE
LONG BEACH, CA 90813
(562) 595-1159
1285031625 FRANK AARON BORUNDA MFTI
Individual
Marriage & Family Therapist1301 PINE AVE
LONG BEACH, CA 90813
(562) 595-1159
1952796393 MELANIE SALDANA
Individual
Marriage & Family Therapist1301 PINE AVE
LONG BEACH, CA 90813
(562) 595-1159
1952427353MS. GRACIELA SUSANA ZISMAN LCSW
Individual
Social Worker (Clinical)1301 PINE AVE
LONG BEACH, CA 90813
(562) 522-0066
1942355318MR. ADAM FURTADO MA, LMFT
Individual
Marriage & Family Therapist1301 PINE AVE
LONG BEACH, CA 90813
(562) 216-2178
1720304413 KARLA SANCHEZ LCSW
Individual
Social Worker (Clinical)1301 PINE AVE
LONG BEACH, CA 90813
(562) 762-0655
1598111510 ERIKA MORALES
Individual
Counselor (Mental Health)1301 PINE AVE
LONG BEACH, CA 90813
(562) 595-1159
1720304785DR. MONICA SOLIMAN D.O.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)1301 PINE AVE
LONG BEACH, CA 90813
(562) 595-1159
1548661010 MARISA FENTIS
Individual
Counselor (Mental Health)1301 PINE AVE
LONG BEACH, CA 90813
(562) 794-6875
1124339957 KENDRA BAILEY PH.D.
Individual
Psychologist (Clinical)1301 PINE AVE
LONG BEACH, CA 90813
(562) 216-2187

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477115897, enumerated in the NPI registry as an "individual" on July 05, 2019

The provider is located at 1301 Pine Ave Long Beach, Ca 90813 and the phone number is (562) 595-1195

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

This NPI record was last updated on July 05, 2019. 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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