SACRAMENTO COMMUNITY CLINIC - 55TH
NPI 1508487653
Clinic/Center - Federally Qualified Health Center (FQHC) in Sacramento, CA
NPI Status: Active since April 29, 2020
Contact Information
7215 55TH ST
SACRAMENTO, CA
ZIP 95823
Phone: (916) 642-1867
Fax: (884) 491-6066
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 05D2301232
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 03-21-2026
About SACRAMENTO COMMUNITY CLINIC - 55TH
This page provides the complete NPI Profile along with additional information for Sacramento Community Clinic - 55th, a primary care provider established in Sacramento, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1508487653 assigned on April 2020. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Sacramento Community Clinic - 55th. The authorized official of this NPI record is Jerry T Bliatout (Ceo)
- NPI
- 1508487653
- Provider Legal Name
- HEALTH AND LIFE ORGANIZATION, INC.
- Other Organization Name
- SACRAMENTO COMMUNITY CLINIC - 55TH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7215 55TH ST SACRAMENTO, CA 95823
- Location Phone
- (916) 642-1867
- Location Fax
- (884) 491-6066
- Mailing Address
- 3030 EXPLORER DR SACRAMENTO, CA 95827
- Mailing Phone
- (916) 642-1867
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-29-2020
- Last Update Date
- 05-31-2023
- Code Navigator
A primary care provider (PCP) like Sacramento Community Clinic - 55th 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
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 | 251B00000X | Agencies | Case Management | |
| 2 | 261QD0000X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 05D2301232
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- March 22, 2024
- Certificate Expiration Date
- March 21, 2026
- Laboratory Director
- MICHAEL MOUA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sacramento Community Clinic - 55th 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 SACRAMENTO COMMUNITY CLINIC - 55TH
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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 | 5 | 0 | 8 | 4 | 8 | 7 | 6 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 8 | 8 | 14 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 8 + 8 + 1 + 4 + 6 + 1 + 0 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1508487653 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1578965315 | JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA Organization | Non-Pharmacy Dispensing Site | 7215 55TH ST SACRAMENTO, CA 95823 (916) 399-1100 |
| 1184756082 | DR. JUNG WON PARK M.D. Individual | Pediatrics | 7215 55TH ST SACRAMENTO, CA 95823 (916) 399-1100 |
| 1073628202 | MOLINA HEALTHCARE OF CALIFORNIA Organization | Family Medicine | 7215 55TH ST SACRAMENTO, CA 95823 (916) 399-1100 |
| 1164835344 | JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA Organization | Family Medicine | 7215 55TH ST SACRAMENTO, CA 95823 (916) 399-1100 |
| 1699134676 | BARBARA ANNE HULL M.D. Individual | Family Medicine | 7215 55TH ST SACRAMENTO, CA 95823 (916) 399-1100 |
| 1235746587 | BEUM HYUN CHONG DDS Individual | Dentist | 7215 55TH ST SACRAMENTO, CA 95823 (425) 635-8313 |
| 1912915539 | JOSHUA HOOVER LCSW Individual | Social Worker | 7215 55TH ST SACRAMENTO, CA 95823 (916) 399-1100 |
| 1861109274 | HEALTH AND LIFE ORGANIZATION, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 7215 55TH ST SACRAMENTO, CA 95823 (916) 642-1867 |
| 1669155065 | THUY T NGUYEN Individual | Dental Hygienist | 7215 55TH ST SACRAMENTO, CA 95823 (916) 505-7527 |
| 1649049750 | UMME KULSUM NIPA Individual | Dentist | 7215 55TH ST SACRAMENTO, CA 95823 (916) 803-2124 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508487653, enumerated in the NPI registry as an "organization" on April 29, 2020
The provider is located at 7215 55th St Sacramento, Ca 95823 and the phone number is (916) 642-1867
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider's CLIA number is 05D2301232 for a "federally qualified health 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 April 29, 2020. 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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