KALISSA MARIE CAMPBELL
NPI 1639643554
Community Health Worker in San Bruno, CA

NPI Status: Active since January 14, 2019

Contact Information

931 SAN BRUNO AVE W RM 2
SAN BRUNO, CA
ZIP 94066
Phone: (415) 681-3211

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  • Individual
  • Female
  • Community Health Worker

About KALISSA CAMPBELL

This page provides the complete NPI Profile along with additional information for Kalissa Campbell, a provider established in San Bruno, California with a medical specialization in Community Health Worker. The healthcare provider is registered in the NPI registry with number 1639643554 assigned on January 2019. The practitioner's primary taxonomy code is 172V00000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1639643554
Provider Name
KALISSA MARIE CAMPBELL
Other Name
KALISSA MARIE BANDINI
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
931 SAN BRUNO AVE W RM 2 SAN BRUNO, CA 94066
Location Phone
(415) 681-3211
Mailing Address
1175 PARK PL APT 229 SAN MATEO, CA 94403
Mailing Phone
(775) 233-7019
Is Sole Proprietor?
No
Enumeration Date
01-14-2019
Last Update Date
01-14-2019
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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

Community Health Worker

Taxonomy Code
172V00000X
Type
Other Service Providers
License State
CA
Taxonomy Description
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

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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.
1639643554
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691246510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 4 + 6 + 5 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1639643554 is valid because the calculated check digit 4 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
1841997947 ARIEL ELIZABETH CORTES
Individual
Community Health Worker931 SAN BRUNO AVE W RM 2
SAN BRUNO, CA 94066
(650) 832-6797
1992289912 KRISTINA MARIE BECKER
Individual
Case Manager/Care Coordinator931 SAN BRUNO AVE W RM 2
SAN BRUNO, CA 94066
(650) 832-6797
1780363531 ANNA LIZA YADAO
Individual
Community Health Worker931 SAN BRUNO AVE W RM 2
SAN BRUNO, CA 94066
(650) 832-6797
1891491833 AUSHA BOLDS
Individual
Community Health Worker931 SAN BRUNO AVE W RM 2
SAN BRUNO, CA 94066
(650) 832-6797

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639643554, enumerated in the NPI registry as an "individual" on January 14, 2019

The provider is located at 931 San Bruno Ave W Rm 2 San Bruno, Ca 94066 and the phone number is (415) 681-3211

The provider's speciality is Community Health Worker with taxonomy code 172V00000X

This NPI record was last updated on January 14, 2019. 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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