SOUTH COUNTY KIDNEY AND ENDOCRINE CENTER
NPI 1891235578
Public Health or Welfare in Laguna Hills, CA
NPI Status: Active since March 01, 2017
Contact Information
23141 MOULTON PKWY STE 102
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 916-9100
Fax: (949) 916-0091
- Organization
- Public Health or Welfare
- CLIA Number: 05D1040918
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 10-25-2025
About SOUTH COUNTY KIDNEY AND ENDOCRINE CENTER
This page provides the complete NPI Profile along with additional information for South County Kidney And Endocrine Center, a provider established in Laguna Hills, California operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1891235578 assigned on March 2017. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. Raymond Ku Jay Chang (Medical Director)
- NPI
- 1891235578
- Provider Name
- SOUTH COUNTY KIDNEY AND ENDOCRINE CENTER
- Entity Type
- Organization
- Location Address
- 23141 MOULTON PKWY STE 102 LAGUNA HILLS, CA 92653
- Location Phone
- (949) 916-9100
- Location Fax
- (949) 916-0091
- Mailing Address
- 23141 MOULTON PKWY #102 LAGUNA HILLS, CA 92653
- Mailing Phone
- (949) 916-9100
- Mailing Fax
- (949) 916-0091
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-01-2017
- Last Update Date
- 03-01-2017
- 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
Public Health or Welfare
- Taxonomy Code
- 251K00000X
- Type
- Agencies
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) |
|---|---|---|---|---|
| 1 | 251K00000X | Agencies | Public Health or Welfare | 202278889 (CA) |
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
- 05D1040918
- Facility Type
- Independent
- Certificate Effective Date
- October 26, 2023
- Certificate Expiration Date
- October 25, 2025
- Laboratory Director
- RAYMOND K. CHANG MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to South County Kidney And Endocrine Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 | 9 | 1 | 2 | 3 | 5 | 5 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 18 | 1 | 4 | 3 | 10 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 8 + 1 + 4 + 3 + 1 + 0 + 5 + 1 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1891235578 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1053962233 | YASEEN KADY PA-C Individual | Internal Medicine | 23141 MOULTON PKWY STE 102 LAGUNA HILLS, CA 92653 (949) 916-9100 |
| 1730644527 | EMILY PHAM PA-C Individual | Physician Assistant | 23141 MOULTON PKWY STE 102 LAGUNA HILLS, CA 92653 (949) 916-9100 |
| 1831144104 | SCKE, INC Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 23141 MOULTON PKWY STE 102 LAGUNA HILLS, CA 92653 (949) 916-9100 |
| 1043432669 | DR. MONICA M. HARMS M.D. Individual | Family Medicine | 23141 MOULTON PKWY STE 102 LAGUNA HILLS, CA 92653 (949) 916-9100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891235578, enumerated in the NPI registry as an "organization" on March 01, 2017
The provider is located at 23141 Moulton Pkwy Ste 102 Laguna Hills, Ca 92653 and the phone number is (949) 916-9100
This medical organization specializes in Public Health or Welfare with taxonomy code 251K00000X
The provider's CLIA number is 05D1040918 for a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on March 01, 2017. 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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