IKIDNEY CARE CLINIC
NPI 1639554041
Internal Medicine - Nephrology in San Diego, CA
NPI Status: Active since July 27, 2015
Contact Information
4440 EUCLID AVE
SUITE A
SAN DIEGO, CA
ZIP 92115
Phone: (619) 521-6812
Fax: (619) 521-6802
- Organization
- Internal Medicine
- Nephrology
- CLIA Number: 05D2067385
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-14-2025
About IKIDNEY CARE CLINIC
This page provides the complete NPI Profile along with additional information for Ikidney Care Clinic, an internist established in San Diego, California operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1639554041 assigned on July 2015. The practitioner's primary taxonomy code is 207RN0300X with license number A124891 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Charles N. Le M.d. (Director)
- NPI
- 1639554041
- Provider Name
- IKIDNEY CARE CLINIC
- Entity Type
- Organization
- Location Address
- 4440 EUCLID AVE SUITE A SAN DIEGO, CA 92115
- Location Phone
- (619) 521-6812
- Location Fax
- (619) 521-6802
- Mailing Address
- 4440 EUCLID AVE SUITE A SAN DIEGO, CA 92115
- Mailing Phone
- (619) 521-6812
- Mailing Fax
- (619) 521-6802
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-27-2015
- Last Update Date
- 07-27-2015
- Code Navigator
An internist like Ikidney Care Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine Nephrology
- Taxonomy Code
- 207RN0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A124891
- License State
- CA
- Taxonomy Description
- An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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 |
|---|---|---|---|
| 281647 | MEDICARE UPIN (02) | 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
- 05D2067385
- Facility Type
- Physician Office
- Certificate Effective Date
- October 15, 2023
- Certificate Expiration Date
- October 14, 2025
- Laboratory Director
- CHARLES N. LE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Ikidney Care 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 | 6 | 3 | 9 | 5 | 5 | 4 | 0 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 10 | 5 | 8 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 0 + 5 + 8 + 0 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1639554041 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 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871821918 | EUCLID PHYSICAL THERAPY, INC. Organization | Physical Therapist | 4440 EUCLID AVE SAN DIEGO, CA 92115 (858) 414-7966 |
| 1821243759 | DR. CHARLES NGUYEN-THANH LE M.D. Individual | Internal Medicine (Nephrology) | 4440 EUCLID AVE SUITE A SAN DIEGO, CA 92115 (619) 521-6812 |
| 1629192091 | ALSAY MEDICAL GROUP INC. Organization | Family Medicine (Adult Medicine) | 4440 EUCLID AVE SUITE A SAN DIEGO, CA 92115 (619) 280-3200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639554041, enumerated in the NPI registry as an "organization" on July 27, 2015
The provider is located at 4440 Euclid Ave Suite A San Diego, Ca 92115 and the phone number is (619) 521-6812
This medical organization specializes in Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology
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 05D2067385 for a "physician office" 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 July 27, 2015. 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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