BE WELL CLINIC POWERED BY PREMISE HEALTH
NPI 1508435751
Clinic/Center - Multi-Specialty in Foster City, CA
NPI Status: Active since June 22, 2021
Contact Information
305 VELOCITY WAY
FOSTER CITY, CA
ZIP 94404
Phone: (650) 524-0820
Fax: (650) 267-6148
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 05D2254899
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-07-2026
About BE WELL CLINIC POWERED BY PREMISE HEALTH
This page provides the complete NPI Profile along with additional information for Be Well Clinic Powered By Premise Health, a provider established in Foster City, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1508435751 assigned on June 2021. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Be Well Clinic Powered By Premise Health. The authorized official of this NPI record is Jon Leizman (President)
- NPI
- 1508435751
- Provider Legal Name
- PREMISE HEALTH OF CALIFORNIA MEDICAL, P.C
- Other Organization Name
- BE WELL CLINIC POWERED BY PREMISE HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 305 VELOCITY WAY FOSTER CITY, CA 94404
- Location Phone
- (650) 524-0820
- Location Fax
- (650) 267-6148
- Mailing Address
- 5500 MARYLAND WAY BRENTWOOD, TN 37027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-22-2021
- Last Update Date
- 08-25-2022
- Code Navigator
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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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
- 05D2254899
- Facility Type
- Physician Office
- Certificate Effective Date
- March 08, 2024
- Certificate Expiration Date
- March 07, 2026
- Laboratory Director
- DR. SUNIL DESAI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Be Well Clinic Powered By Premise Health 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 BE WELL CLINIC POWERED BY PREMISE HEALTH
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 5 | 0 | 8 | 4 | 3 | 5 | 7 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 8 | 3 | 10 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 8 + 3 + 1 + 0 + 7 + 1 + 0 + 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 1508435751 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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780186817 | DR. JACOB FEINER ENGELSKIRGER PSYD Individual | Psychologist (Clinical) | 305 VELOCITY WAY FOSTER CITY, CA 94404 (650) 524-0820 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508435751, enumerated in the NPI registry as an "organization" on June 22, 2021
The provider is located at 305 Velocity Way Foster City, Ca 94404 and the phone number is (650) 524-0820
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider's CLIA number is 05D2254899 for a "physician office" 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 June 22, 2021. 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.