GARDNER PACKARD CHILDREN'S CENTER
NPI 1922366186
Clinic/Center in Atherton, CA
NPI Status: Active since April 25, 2012
Contact Information
3351 EL CAMINO REAL
SUITE 100
ATHERTON, CA
ZIP 94027
Phone: (408) 200-2291
Fax: (408) 278-7799
- Organization
- Clinic/Center
- CLIA Number: 05D2044941
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 08-01-2026
About GARDNER PACKARD CHILDREN'S CENTER
This page provides the complete NPI Profile along with additional information for Gardner Packard Children's Center, a provider established in Atherton, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1922366186 assigned on April 2012. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Gardner Packard Children's Center. The authorized official of this NPI record is Ofelia Ruiz (Director)
- NPI
- 1922366186
- Provider Legal Name
- GARDNER FAMILY HEALTH NETWORK INC
- Other Organization Name
- GARDNER PACKARD CHILDREN'S CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3351 EL CAMINO REAL SUITE 100 ATHERTON, CA 94027
- Location Phone
- (408) 200-2291
- Location Fax
- (408) 278-7799
- Mailing Address
- 1621 GOLD STREET ALVISO, CA 95002
- Mailing Phone
- (408) 200-2291
- Mailing Fax
- (408) 278-7799
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-25-2012
- Last Update Date
- 08-22-2017
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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
- 05D2044941
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- August 02, 2024
- Certificate Expiration Date
- August 01, 2026
- Laboratory Director
- ELIZABETH STUART
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gardner Packard Children's Center 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 | 9 | 2 | 2 | 3 | 6 | 6 | 1 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 6 | 6 | 12 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 6 + 6 + 1 + 2 + 1 + 1 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1922366186 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235205279 | DR. JOSEPH KRAUSS DDS Individual | Dentist | 3351 EL CAMINO REAL SUITE 235 ATHERTON, CA 94027 (650) 365-1533 |
| 1235206624 | DR. MICHAEL BRUGOS DDS Individual | Dentist | 3351 EL CAMINO REAL SUITE 235 ATHERTON, CA 94027 (650) 365-1533 |
| 1518083245 | DR. JANE S WESTON M.D., F.A.C.S Individual | Surgery (Plastic and Reconstructive Surgery) | 3351 EL CAMINO REAL ATHERTON, CA 94027 (650) 363-0300 |
| 1619095007 | MS. LISA RIEDLE PT Individual | Physical Therapist (Sports) | 3351 EL CAMINO REAL SUITE 180 ATHERTON, CA 94027 (650) 365-8350 |
| 1639299365 | NICOLE DACQUISTO PT Individual | Physical Therapist (Sports) | 3351 EL CAMINO REAL SUITE 180 ATHERTON, CA 94027 (650) 365-8350 |
| 1104038272 | DR. EVAN MARTIN BLOCH MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 3351 EL CAMINO REAL STE 101 ATHERTON, CA 94027 (650) 306-1016 |
| 1770781791 | DR. UMANG MEHTA M.D. Individual | Otolaryngology (Otolaryngology/Facial Plastic Surgery) | 3351 EL CAMINO REAL SUITE 201 ATHERTON, CA 94027 (650) 363-0871 |
| 1922291160 | JANE S. WESTON, M.D. , MEDICAL CORPORATION Organization | Plastic Surgery | 3351 EL CAMINO REAL SUITE 201 ATHERTON, CA 94027 (650) 363-0300 |
| 1295904852 | MISS CHRISTINA NICOLE WALKER N. P. Individual | Registered Nurse | 3351 EL CAMINO REAL ATHERTON, CA 94027 (303) 570-9181 |
| 1922255421 | MR. AMIR REZA GHORBANI D.D.S Individual | Dentist | 3351 EL CAMINO REAL #222 ATHERTON, CA 94027 (650) 299-9999 |
| 1821182973 | WINSTON CANUTE VAUGHAN M.D. Individual | Specialist | 3351 EL CAMINO REAL STE 200 ATHERTON, CA 94027 (650) 399-4630 |
| 1417074030 | MICHELLE CLAUDETTE OLSEN D.D.S. Individual | Dentist (Endodontics) | 3351 EL CAMINO REAL STE. 222 ATHERTON, CA 94027 (650) 361-0180 |
| 1831217215 | JOHN BARMAN MPT Individual | Physical Therapist (Sports) | 3351 EL CAMINO REAL SUITE 180 ATHERTON, CA 94027 (650) 365-8350 |
| 1992827992 | ATHERTON PLASTIC SURGERY CENTER Organization | Clinic/Center (Ambulatory Surgical) | 3351 EL CAMINO REAL SUITE 200 ATHERTON, CA 94027 (650) 363-0300 |
| 1992095830 | DR. ANDREW TOMLINSON M.D. Individual | Otolaryngology | 3351 EL CAMINO REAL SUITE 200 ATHERTON, CA 94027 (650) 399-4630 |
| 1316291867 | PACIFIC ENDOSCOPY LLC Organization | Clinic/Center (Ambulatory Surgical) | 3351 EL CAMINO REAL STE 220 ATHERTON, CA 94027 (650) 365-3700 |
| 1225295694 | KATHLEEN MARIE LOW NP Individual | Nurse Practitioner | 3351 EL CAMINO REAL STE 200 ATHERTON, CA 94027 (650) 399-4630 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922366186, enumerated in the NPI registry as an "organization" on April 25, 2012
The provider is located at 3351 El Camino Real Suite 100 Atherton, Ca 94027 and the phone number is (408) 200-2291
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider's CLIA number is 05D2044941 for a "rural health clinic" 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 April 25, 2012. 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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