CALIFORNIA HEALTH COLLABORATIVE
NPI 1780963140
Case Manager/Care Coordinator in Fresno, CA

NPI Status: Active since August 16, 2011

Contact Information

1680 W SHAW AVE
FRESNO, CA
ZIP 93711
Phone: (559) 221-6315

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  • Organization
  • Case Manager/Care Coordinator
  • CLIA Number: 05D2116057
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 07-17-2026

About CALIFORNIA HEALTH COLLABORATIVE

This page provides the complete NPI Profile along with additional information for California Health Collaborative, a provider established in Fresno, California operating as a Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1780963140 assigned on August 2011. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an organization and their NPI record was last updated one year ago. California Health Collaborative operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as California Health Collaborative. The authorized official of this NPI record is Mr. Stephen Ramirez (Executive Director)

NPI
1780963140
Provider Legal Name
CALIFORNIA HEALTH COLLABORATIVE FOUNDATION
Other Organization Name
CALIFORNIA HEALTH COLLABORATIVE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1680 W SHAW AVE FRESNO, CA 93711
Location Phone
(559) 221-6315
Mailing Address
1680 W SHAW AVE FRESNO, CA 93711
Mailing Phone
(559) 221-6315
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-16-2011
Last Update Date
04-03-2024
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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

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

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)
1171W00000XOther Service Providers

Contractor

 
2251S00000XAgencies

Community/Behavioral Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MR. STEPHEN RAMIREZ

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(559) 244-4524

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
05D2116057
Facility Type
Home Health Agency
Certificate Effective Date
July 18, 2024
Certificate Expiration Date
July 17, 2026
Laboratory Director
GURMEJ S. DHILLON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to California Health Collaborative 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 CALIFORNIA HEALTH COLLABORATIVE

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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.
1780963140
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27160186618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 8 + 6 + 6 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1780963140 is valid because the calculated check digit 0 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
1720519580MRS. ALEXANDRA ADDO-BOATENG
Individual
Psychologist1680 W SHAW AVE
FRESNO, CA 93711
(530) 520-0928
1083188494 JULIA RUIZ
Individual
Health Educator1680 W SHAW AVE
FRESNO, CA 93711
(559) 244-4554
1518421312 GINA FALCON
Individual
Health Educator1680 W SHAW AVE
FRESNO, CA 93711
(559) 244-4544
1023573482 KARLA CRUZ
Individual
Health Educator1680 W SHAW AVE
FRESNO, CA 93711
(559) 244-4572

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780963140, enumerated in the NPI registry as an "organization" on August 16, 2011

The provider is located at 1680 W Shaw Ave Fresno, Ca 93711 and the phone number is (559) 221-6315

This medical organization specializes in Case Manager/Care Coordinator with taxonomy code 171M00000X

The provider's CLIA number is 05D2116057 for a "home health agency" 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 August 16, 2011. 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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