RAI - FOOTHILL BLVD - GLENDORA
NPI 1861567620
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Glendora, CA
NPI Status: Active since November 21, 2006
Contact Information
120 W FOOTHILL BLVD
GLENDORA, CA
ZIP 91741
Phone: (626) 335-7551
Fax: (626) 335-0962
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 05D0937017
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 03-22-2027
About RAI - FOOTHILL BLVD - GLENDORA
This page provides the complete NPI Profile along with additional information for Rai - Foothill Blvd - Glendora, a provider established in Glendora, California operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1861567620 assigned on November 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Rai - Foothill Blvd - Glendora. The authorized official of this NPI record is Barry L. Blanton (Vice President)
- NPI
- 1861567620
- Provider Legal Name
- GAREY DIALYSIS CENTER PARTNERSHIP
- Other Organization Name
- RAI - FOOTHILL BLVD - GLENDORA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 120 W FOOTHILL BLVD GLENDORA, CA 91741
- Location Phone
- (626) 335-7551
- Location Fax
- (626) 335-0962
- Mailing Address
- 120 W FOOTHILL BLVD GLENDORA, CA 91741
- Mailing Phone
- (626) 335-7551
- Mailing Fax
- (626) 335-0962
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-21-2006
- Last Update Date
- 10-17-2023
- 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:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 052820 | OTHER (01) | CA | BLUE CROSS OF CALIFORNIA |
| CDC02820F | MEDICAID (05) | CA | |
| 052820 | OTHER (01) | CA | PTAN |
| ZZZR0223Z | OTHER (01) | CA | BLUE SHIELD OF CALIFORNIA |
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
- 05D0937017
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- March 23, 2025
- Certificate Expiration Date
- March 22, 2027
- Laboratory Director
- PAPPOE AKHENATON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Rai - Foothill Blvd - Glendora 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.
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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 | 8 | 6 | 1 | 5 | 6 | 7 | 6 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 12 | 1 | 10 | 6 | 14 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 2 + 1 + 1 + 0 + 6 + 1 + 4 + 6 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1861567620 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861567620, enumerated in the NPI registry as an "organization" on November 21, 2006
The provider is located at 120 W Foothill Blvd Glendora, Ca 91741 and the phone number is (626) 335-7551
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: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D0937017 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 November 21, 2006. 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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