USRC PEARLRIDGE, LLC
NPI 1710554571
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Aiea, HI
NPI Status: Active since June 09, 2021
Contact Information
98-1005 MOANALUA RD SPC 420
AIEA, HI
ZIP 96701
Phone: (808) 440-4800
Fax: (808) 485-1060
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- Accepts Insurance
- CLIA Number: 12D0967956
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 02-26-2027
About USRC PEARLRIDGE, LLC
This page provides the complete NPI Profile along with additional information for Usrc Pearlridge, Llc, a provider established in Aiea, Hawaii operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1710554571 assigned on June 2021. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Thomas L. Weinberg (Chairman And President)
- NPI
- 1710554571
- Provider Name
- USRC PEARLRIDGE, LLC
- Entity Type
- Organization
- Location Address
- 98-1005 MOANALUA RD SPC 420 AIEA, HI 96701
- Location Phone
- (808) 440-4800
- Location Fax
- (808) 485-1060
- Mailing Address
- 5851 LEGACY CIR STE 900 PLANO, TX 75024
- Mailing Phone
- (214) 736-2700
- Mailing Fax
- (808) 485-1060
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-09-2021
- Last Update Date
- 06-09-2021
- 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
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- HMSA Bronze PPO I - PPO
- HMSA Bronze PPO II HSA - PPO
- HMSA Catastrophic Plan - PPO
- HMSA Gold PPO I - PPO
- HMSA Gold PPO II - PPO
- HMSA Platinum PPO - PPO
- HMSA Silver PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 12D0967956
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- February 27, 2025
- Certificate Expiration Date
- February 26, 2027
- Laboratory Director
- DR. THOMAS CHEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Usrc Pearlridge, Llc 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 USRC PEARLRIDGE, LLC
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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 | 7 | 1 | 0 | 5 | 5 | 4 | 5 | 7 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 10 | 5 | 8 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 1 + 0 + 5 + 8 + 5 + 1 + 4 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1710554571 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 |
|---|---|---|---|
| 1760635601 | MRS. DIANA J.V. FRANKLIN RD Individual | Dietitian, Registered (Nutrition, Renal) | 98-1005 MOANALUA RD SPC 420 CKD SERVICES OF PEARLRIDGE AIEA, HI 96701 (808) 440-4893 |
| 1144662495 | MRS. TING PING CHEUNG-YEH LSW Individual | Social Worker | 98-1005 MOANALUA RD SPC 420 AIEA, HI 96701 (808) 440-4800 |
| 1568062735 | HANNAH FUGATE LCSW Individual | Social Worker (Clinical) | 98-1005 MOANALUA RD SPC 420 AIEA, HI 96701 (814) 952-6823 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710554571, enumerated in the NPI registry as an "organization" on June 09, 2021
The provider is located at 98-1005 Moanalua Rd Spc 420 Aiea, Hi 96701 and the phone number is (808) 440-4800
This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment
The provider might be accepting Accepts: Aetna CVS Health and HMSA. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 12D0967956 for a "end stage renal disease dialysis facility" 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 June 09, 2021. 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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