MEMORIAL HOSPITAL LOS BANOS/RURAL HEALTH CLINIC
NPI 1528202090
Clinic/Center - Rural Health in Los Banos, CA
NPI Status: Active since April 28, 2009
Contact Information
400 W I ST STE C
LOS BANOS, CA
ZIP 93635
Phone: (209) 710-6333
Fax: (209) 827-0554
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 05D2266234
- CLIA Cert. Type: Other - RURAL HEALTH CLINIC
- CLIA Exp. Date: 08-07-2026
About MEMORIAL HOSPITAL LOS BANOS/RURAL HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Memorial Hospital Los Banos/rural Health Clinic, a primary care provider established in Los Banos, California operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1528202090 assigned on April 2009. The practitioner's primary taxonomy code is 261QR1300X with license number 040000177 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Memorial Hospital Los Banos/rural Health Clinic. The authorized official of this NPI record is John Gates (Cfo Vpba)
- NPI
- 1528202090
- Provider Legal Name
- SUTTER CENTRAL VALLEY HOSPITALS
- Other Organization Name
- MEMORIAL HOSPITAL LOS BANOS/RURAL HEALTH CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 400 W I ST STE C LOS BANOS, CA 93635
- Location Phone
- (209) 710-6333
- Location Fax
- (209) 827-0554
- Mailing Address
- PO BOX 740152 LOS ANGELES, CA 90074
- Mailing Phone
- (855) 398-1633
- Mailing Fax
- (209) 827-0554
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-28-2009
- Last Update Date
- 04-21-2016
- Code Navigator
A primary care provider (PCP) like Memorial Hospital Los Banos/rural Health Clinic 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 Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 040000177
- License State
- CA
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 |
|---|---|---|---|
| 55-3998 | MEDICARE PIN (08) | ||
| 553998 | MEDICARE OSCAR/CERTIFICATION (06) | CA |
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
- 05D2266234
- Facility Type
- Other - RURAL HEALTH CLINIC
- Certificate Effective Date
- August 08, 2024
- Certificate Expiration Date
- August 07, 2026
- Laboratory Director
- SCOTT SILVEIRA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Memorial Hospital Los Banos/rural Health Clinic 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 MEMORIAL HOSPITAL LOS BANOS/RURAL HEALTH CLINIC
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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 | 2 | 8 | 2 | 0 | 2 | 0 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 4 | 0 | 4 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 4 + 0 + 4 + 0 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1528202090 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881917615 | JANICE P JAMES FNP Individual | Nurse Practitioner (Family) | 400 W I ST STE C LOS BANOS, CA 93635 (209) 710-6333 |
| 1992144430 | DR. SARAH ANN S MATOUK D.P.M. Individual | Podiatrist | 400 W I ST STE C LOS BANOS, CA 93635 (209) 827-2766 |
| 1689627879 | DR. MONIF MOUSSA MATOUK DPM Individual | Podiatrist | 400 W I ST STE C LOS BANOS, CA 93635 (209) 827-2766 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528202090, enumerated in the NPI registry as an "organization" on April 28, 2009
The provider is located at 400 W I St Ste C Los Banos, Ca 93635 and the phone number is (209) 710-6333
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
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 05D2266234 for a "other - rural health clinic" 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 28, 2009. 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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