KOKUA WELLNESS INC.
NPI 1891488748
Clinic/Center - Rehabilitation, Substance Use Disorder in Ventura, CA

NPI Status: Active since May 29, 2023

Contact Information

1219 VIA CIELITO
VENTURA, CA
ZIP 93003
Phone: (818) 723-9403

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 05D2294003
  • CLIA Cert. Type: Other - INPATIENT REHAB FACILITY
  • CLIA Exp. Date: 11-16-2025

About KOKUA WELLNESS INC.

This page provides the complete NPI Profile along with additional information for Kokua Wellness Inc., a provider established in Ventura, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1891488748 assigned on May 2023. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Michael Bradshaw Catc I (Ceo)

NPI
1891488748
Provider Name
KOKUA WELLNESS INC.
Entity Type
Organization
Location Address
1219 VIA CIELITO VENTURA, CA 93003
Location Phone
(818) 723-9403
Mailing Address
2861 LOS ROBLES RD THOUSAND OAKS, CA 91362
Mailing Phone
(760) 590-5135
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-29-2023
Last Update Date
05-29-2023
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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

MICHAEL BRADSHAW CATC I

Authorized Official Title
CEO
Authorized Official Phone
(818) 723-9403

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
05D2294003
Facility Type
Other - INPATIENT REHAB FACILITY
Certificate Effective Date
November 17, 2023
Certificate Expiration Date
November 16, 2025
Laboratory Director
CHRISTOPHER KERRIGAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kokua Wellness Inc. 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.
1891488748
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28181881678
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 8 + 8 + 1 + 6 + 7 + 8 + 24 = 82
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 82 = 88

The NPI number 1891488748 is valid because the calculated check digit 8 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 1891488748, enumerated in the NPI registry as an "organization" on May 29, 2023

The provider is located at 1219 Via Cielito Ventura, Ca 93003 and the phone number is (818) 723-9403

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

The provider's CLIA number is 05D2294003 for a "other - inpatient rehab 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 May 29, 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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