ALEXANDER JORDAN TY STULL
NPI 1790471134
Community Health Worker in San Diego, CA

NPI Status: Active since April 17, 2023

Contact Information

409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA
ZIP 92108
Phone: (619) 381-7748

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  • Individual
  • Male
  • Community Health Worker

About ALEXANDER STULL

This page provides the complete NPI Profile along with additional information for Alexander Stull, a provider established in San Diego, California with a medical specialization in Community Health Worker. The healthcare provider is registered in the NPI registry with number 1790471134 assigned on April 2023. The practitioner's primary taxonomy code is 172V00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1790471134
Provider Name
ALEXANDER JORDAN TY STULL
Gender
Male
Entity Type
Individual
Location Address
409 CAMINO DEL RIO S STE 201 SAN DIEGO, CA 92108
Location Phone
(619) 381-7748
Mailing Address
4930 NAPLES ST SAN DIEGO, CA 92110
Mailing Phone
(619) 276-1176
Is Sole Proprietor?
No
Enumeration Date
04-17-2023
Last Update Date
04-27-2023
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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)
1175T00000XOther Service Providers

Peer Specialist

 

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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.
1790471134
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718087216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 8 + 7 + 2 + 1 + 6 + 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 1790471134 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073763629MR. CHRISTOPHER A ISAAC M.A., LMFT
Individual
Marriage & Family Therapist409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 346-4020
1164773651 MARIA SUZANNA LOPEZ
Individual
Case Manager/Care Coordinator409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 346-4020
1639612054 RUTH JUAREZ
Individual
Social Worker (Clinical)409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 346-4020
1699348425 ALFRED YUCUPICIO AGUITE LMFT
Individual
Marriage & Family Therapist409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 346-4020
1740942564 NINA LOUISE EDWARDS
Individual
Case Manager/Care Coordinator409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 276-1176
1801462320TELECARE CORPORATION
Organization
Community/Behavioral Health409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 346-4020
1245998129 D'ANDRE RASHUN SWINEY
Individual
Peer Specialist409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 346-4020
1942707310 JESSICA FRANCES FOSTER
Individual
Counselor (Professional)409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 813-9184
1386043503MS. MICHELLE MARIE JACK LCSW
Individual
Social Worker (Clinical)409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 813-9184
1295461861 YESSENIA NATALEY ALMANZA
Individual
Peer Specialist409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 381-7748
1811546633 CHRISTINE MARIE CROFT LCSW
Individual
Social Worker (Clinical)409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 346-4020
1356816185 SHEELA MANDAVA LCSW
Individual
Social Worker (Clinical)409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 436-4263
1700358959MS. DALICIA FAYE MACK-NOWELL LCSW
Individual
Social Worker (Clinical)409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 381-7748
1134572928 DANE RICHARD TURNEY ASSOCIATE MFT
Individual
Marriage & Family Therapist409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 381-7748
1407404536 XOCHITL CRUZ
Individual
Counselor (Professional)409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 346-4020
1427752690 RYAN GABRIEL MULLINS ACSW
Individual
Social Worker (Clinical)409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 381-7748
1962102608 NICHOLAS DEMETRIOS KAVATHAS
Individual
Community Health Worker409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 381-7748
1093388076 JOSEPHINA CATHERINE LEVERONI LCSW
Individual
Social Worker (Clinical)409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 381-7748
1437885753 CRISTINA PALACIOS MOSQUEDA
Individual
Student in an Organized Health Care Education/Training Program409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 381-7748
1609433960 DULCE JASMIN HERNANDEZ
Individual
Social Worker (Clinical)409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108
(619) 381-7748

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790471134, enumerated in the NPI registry as an "individual" on April 17, 2023

The provider is located at 409 Camino Del Rio S Ste 201 San Diego, Ca 92108 and the phone number is (619) 381-7748

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

This NPI record was last updated on April 17, 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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