LA SIERRA UNIVERSITY HEALTH CLINIC
NPI 1538245675
Specialist in Riverside, CA
NPI Status: Active since October 31, 2006
Contact Information
4500 RIVERWALK PKWY
RIVERSIDE, CA
ZIP 92505
Phone: (951) 785-2200
Fax: (951) 785-2263
- Organization
- Specialist
- CLIA Number: 05D2196681
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 10-18-2026
About LA SIERRA UNIVERSITY HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for La Sierra University Health Clinic, a provider established in Riverside, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1538245675 assigned on October 2006. The practitioner's primary taxonomy code is 174400000X with license number AF6193128 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. La Sierra University Health Clinic 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 Dr. Sylvia Tan Chang Phd (Director)
- NPI
- 1538245675
- Provider Name
- LA SIERRA UNIVERSITY HEALTH CLINIC
- Entity Type
- Organization
- Location Address
- 4500 RIVERWALK PKWY RIVERSIDE, CA 92505
- Location Phone
- (951) 785-2200
- Location Fax
- (951) 785-2263
- Mailing Address
- 4500 RIVERWALK PKWY RIVERSIDE, CA 92505
- Mailing Phone
- (951) 785-2200
- Mailing Fax
- (951) 785-2263
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-31-2006
- Last Update Date
- 08-22-2020
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- AF6193128
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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.
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
- 05D2196681
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- October 19, 2024
- Certificate Expiration Date
- October 18, 2026
- Laboratory Director
- AGNES HENRY CODORNIA
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to La Sierra University Health Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 | 3 | 8 | 2 | 4 | 5 | 6 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 4 | 4 | 10 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 4 + 4 + 1 + 0 + 6 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1538245675 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1679624837 | BRIAN MURPHY ATC Individual | Specialist/Technologist (Athletic Trainer) | 4500 RIVERWALK PKWY RIVERSIDE, CA 92505 (951) 785-2534 |
| 1083760425 | DR. MELVIN ARTHUR QUAN MD Individual | Family Medicine | 4500 RIVERWALK PKWY STUDENT HEALTH SERVICE RIVERSIDE, CA 92505 (951) 785-2200 |
| 1356671804 | LA SIERRA UNIVERSITY STUDENT HEALTH SERVICES Organization | Clinic/Center (Health Service) | 4500 RIVERWALK PKWY RIVERSIDE, CA 92505 (951) 785-2200 |
| 1841630621 | RYAN LUIS DIAZ A.A. DEGREE Individual | Behavior Analyst | 4500 RIVERWALK PKWY RIVERSIDE, CA 92505 (951) 333-9747 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538245675, enumerated in the NPI registry as an "organization" on October 31, 2006
The provider is located at 4500 Riverwalk Pkwy Riverside, Ca 92505 and the phone number is (951) 785-2200
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider's CLIA number is 05D2196681 for a "school/student health service" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on October 31, 2006. 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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