JOHN HENRY GULLICKSON III
NPI 1649048901
Community Health Worker in Concord, CA

NPI Status: Active since December 15, 2023

Contact Information

1333 WILLOW PASS RD STE 200
CONCORD, CA
ZIP 94520
Phone: (925) 825-1793

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  • Individual
  • Male
  • Community Health Worker

About JOHN GULLICKSON

This page provides the complete NPI Profile along with additional information for John Gullickson, a provider established in Concord, California with a medical specialization in Community Health Worker. The healthcare provider is registered in the NPI registry with number 1649048901 assigned on December 2023. The practitioner's primary taxonomy code is 172V00000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1649048901
Provider Name
JOHN HENRY GULLICKSON III
Gender
Male
Entity Type
Individual
Location Address
1333 WILLOW PASS RD STE 200 CONCORD, CA 94520
Location Phone
(925) 825-1793
Mailing Address
1333 WILLOW PASS RD STE 200 CONCORD, CA 94520
Is Sole Proprietor?
No
Enumeration Date
12-15-2023
Last Update Date
04-04-2024
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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
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

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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.
1649048901
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689041690
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 0 + 4 + 1 + 6 + 9 + 0 + 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 = 11

The NPI number 1649048901 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 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801538574 VIRIDIANA LANDEROS
Individual
Counselor1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 825-1793
1205351921 BRITTANY VERESCHAGIN
Individual
Student in an Organized Health Care Education/Training Program1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 825-1793
1437674421 CARIE ANN JAMORA YLANAN PMHNP, APN
Individual
Nurse Practitioner (Psychiatric/Mental Health)1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 825-1793
1255959110 REBECCA DANIELLE FEUERSTEIN
Individual
Student in an Organized Health Care Education/Training Program1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 825-1793
1336850064 JENNA MARIE BOEGER
Individual
Student in an Organized Health Care Education/Training Program1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 825-1793
1053094953 SARAH ABDALLAH
Individual
Community Health Worker1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 825-1793
1639945066MRS. LAILA FIGUEROA MA
Individual
Student in an Organized Health Care Education/Training Program1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 825-1793
1073252045 JAMES VICTOR KATZ
Individual
Community Health Worker1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 825-1793
1629815006 ARCHANA VELLASURE
Individual
Community Health Worker1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 338-7928
1083223317 SIMONE A STEVENS PSYD INTERN
Individual
Psychologist (Counseling)1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 640-6796
1457922452 NATASHA CHIU
Individual
Psychologist (Counseling)1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 338-7928
1184236325 JUAN IBARRA ASW
Individual
Psychologist (Counseling)1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 338-7928
1851019434 JONATHON B BAGGETT
Individual
Psychologist (Counseling)1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 338-7928
1316590664 JOAN PAUL
Individual
Psychologist (Counseling)1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 825-1793
1205429578 MARINA RAMOS MA
Individual
Psychologist (Counseling)1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 338-7928
1649821711 SMARIKA RAI
Individual
Psychologist (Counseling)1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 338-7928
1659164275 KENNETH BERNARD BROWN-UNDERWOOD III
Individual
Day Training/Habilitation Specialist1333 WILLOW PASS RD STE 200
CONCORD, CA 94520
(925) 338-7928

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649048901, enumerated in the NPI registry as an "individual" on December 15, 2023

The provider is located at 1333 Willow Pass Rd Ste 200 Concord, Ca 94520 and the phone number is (925) 825-1793

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

This NPI record was last updated on December 15, 2023. 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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