MODESTO KIDNEY CENTER, INC.
NPI 1003887712
Clinic/center, End-stage Renal Disease (esrd) Treatment in Long Beach,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 30, 2006

Contact Information

1 World Trade Ctr
Long Beach,
Post Code: 90831
Phone: (562) 495-8075
Fax: (562) 495-8076

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Modesto Kidney Center, Inc. in Long Beach - Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

Modesto Kidney Center, Inc. is a Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Long Beach, . Modesto Kidney Center, Inc. practices all healthcare services and medical treatments related to Clinic/Center, End-Stage Renal Disease (ESRD) Treatment. The NPI Number for Modesto Kidney Center, Inc. is 1003887712. The last update date is 2020-08-22.

Modesto Kidney Center, Inc.'s current location address is 1 World Trade Ctr, Long Beach, . You can contact this provider via phone number (562) 495-8075 and fax number (562) 495-8076. The mailing address for Modesto Kidney Center, Inc. is 1 World Trade Ctr, Long Beach, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003887712
Provider Legal Name
MODESTO KIDNEY CENTER, INC.
Other Organization Name
MODESTO KIDNEY CENTER, INC.
Other Name Type
-
Entity Type
Organization
Location Address
1 World Trade Ctr, Long Beach,
Location Phone
(562) 495-8075
Location Fax
(562) 495-8076
Mailing Address
305 E Granger Ave, Modesto, California(CA)
Mailing Phone
209-574-6800
Mailing Fax
209-574-6808
Enumeration Date
2006-01-30
Last Update Date
2020-08-22
Code Navigator

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
-
License No.
110000468
License State
California (CA)
Taxonomy Description
-

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
CDC02783F MEDICAID (05) California (CA)

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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.
1003887712
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20031681472
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20031681472
2 + 0 + 0 + 3 + 1 + 6 + 8 + 1 + 4 + 7 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2 2

The NPI number 1003887712 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003887506 VINCE LEE
Individual
Pharmacist 937 FRANKLIN BLVD
LEMOORE, California (CA)
559-998-4499
1003887480 PATRICIA SCOTT MEYER
Individual
Clinical Nurse Specialist, Emergency 4301 NORTHSTAR WAY
MODESTO, California (CA)
209-342-2300
1003887324 DAVID L OGDEN
Individual
Internal Medicine PO BOX 6671
SANTA ROSA, California (CA)
707-544-7331
1003887191 KAREN PICKETT PONTES
Individual
Pharmacist 901 I AVE
CORONADO, California (CA)
619-435-2658
1003887027 STEVEN A BALCH
Individual
Pediatrics 3860 CALLE FORTUNADA
SAN DIEGO, California (CA)
858-636-4300