CASA PACIFICA ADHC CENTER
NPI 1609920305
Clinic/Center - Adult Day Care in San Diego, CA

NPI Status: Active since January 22, 2007

Contact Information

1424 30TH ST
SUITE C
SAN DIEGO, CA
ZIP 92154
Phone: (619) 424-8181
Fax: (619) 424-8151

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  • Organization
  • Clinic/Center
  • Adult Day Care
  • CLIA Number: 05D0985882
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 04-30-2027

About CASA PACIFICA ADHC CENTER

This page provides the complete NPI Profile along with additional information for Casa Pacifica Adhc Center, a provider established in San Diego, California operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1609920305 assigned on January 2007. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Casa Pacifica Adhc Center. The authorized official of this NPI record is Luba Vaisman (President Administrator)

NPI
1609920305
Provider Legal Name
JGELT CORPORATION
Other Organization Name
CASA PACIFICA ADHC CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1424 30TH ST SUITE C SAN DIEGO, CA 92154
Location Phone
(619) 424-8181
Location Fax
(619) 424-8151
Mailing Address
1424 30TH ST SUITE C SAN DIEGO, CA 92154
Mailing Phone
(619) 424-8181
Mailing Fax
(619) 424-8151
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-22-2007
Last Update Date
08-22-2020
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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

Clinic/Center Adult Day Care

Taxonomy Code
261QA0600X
Type
Ambulatory Health Care Facilities
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LUBA VAISMAN

Authorized Official Title
PRESIDENT ADMINISTRATOR
Authorized Official Phone
(619) 424-8181

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
ADU70229FMEDICAID (05)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
05D0985882
Facility Type
Other
Certificate Effective Date
May 01, 2025
Certificate Expiration Date
April 30, 2027
Laboratory Director
ABEL C. TOLEDO MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Casa Pacifica Adhc Center 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 CASA PACIFICA ADHC CENTER

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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.
1609920305
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609182030
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 2 + 0 + 3 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1609920305 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 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295852325EPISCOPAL COMMUNITY SERVICES
Organization
Early Intervention Provider Agency1424 30TH ST SUITE A
SAN DIEGO, CA 92154
(619) 565-2650
1194320382MRS. ANDREA MEZA CONTRERAS MD
Individual
Counselor (Mental Health)1424 30TH ST
SAN DIEGO, CA 92154
(619) 565-2650
1861052193 KARLA FERNANDA VILLASENOR
Individual
Counselor (Mental Health)1424 30TH ST
SAN DIEGO, CA 92154
(619) 565-2650
1902446297 DANIA MARTINEZ ELIZALDE
Individual
Marriage & Family Therapist1424 30TH ST
SAN DIEGO, CA 92154
(619) 565-2650
1407421621 LAURA CHAVEZ
Individual
Student in an Organized Health Care Education/Training Program1424 30TH ST
SAN DIEGO, CA 92154
(619) 565-2650
1568061703 EDITH FEMATT BRIZUELA
Individual
Counselor (Professional)1424 30TH ST
SAN DIEGO, CA 92154
(619) 565-2650

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609920305, enumerated in the NPI registry as an "organization" on January 22, 2007

The provider is located at 1424 30th St Suite C San Diego, Ca 92154 and the phone number is (619) 424-8181

This medical organization specializes in Clinic/Center with taxonomy code 261QA0600X with a focus in Adult Day Care

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 05D0985882 for a "other" 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 January 22, 2007. 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.