GENESIS DEVELOPMENTAL SERVICES
NPI 1023004561
Intermediate Care Facility, Intellectual Disabilities in Pismo Beach,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 20, 2005

Contact Information

Po Box 626
Pismo Beach,
Post Code: 93448
Phone: (805) 489-9472
Fax: (805) 474-6893

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Genesis Developmental Services in Pismo Beach - Intermediate Care Facility, Intellectual Disabilities

Genesis Developmental Services is a Intermediate Care Facility, Intellectual Disabilities in Pismo Beach, . Genesis Developmental Services practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Genesis Developmental Services is 1023004561. The last update date is 2020-08-22.

Genesis Developmental Services's current location address is Po Box 626, Pismo Beach, . You can contact this provider via phone number (805) 489-9472 and fax number (805) 474-6893. The mailing address for Genesis Developmental Services is Po Box 626, Pismo Beach, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1023004561
Provider Legal Name
GENESIS CORPORATION
Other Organization Name
GENESIS DEVELOPMENTAL SERVICES
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
Po Box 626, Pismo Beach,
Location Phone
(805) 489-9472
Location Fax
(805) 474-6893
Mailing Address
17096 Via Flores, San Lorenzo, California(CA)
Mailing Phone
510-276-8442
Mailing Fax
510-276-7802
Enumeration Date
2005-09-20
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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
-
License No.
220000337
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
LTC60739F 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.
1023004561
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043008512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2043008512
2 + 0 + 4 + 3 + 0 + 0 + 8 + 5 + 1 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 1 1

The NPI number 1023004561 is valid because the calculated check digit 1 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
1023004173 ELIZABETH MICHELLE VOGLER
Individual
Radiology, Diagnostic Radiology PO BOX 489
TEMPLETON, California (CA)
805-434-1491
1023004116 JOEL ANDREW WEINSTEIN
Individual
Surgery PO BOX 1885
WATSONVILLE, California (CA)
831-722-4300
1023003928 RYAN L NATIONS
Individual
Nurse Anesthetist, Certified Registered PO BOX 232410
SAN DIEGO, California (CA)
800-926-8273
1023003811 ALL FAMILY HEALTHCARE CORP
ALL FAMILY CARE MEDICAL OFFICE
Organization
Family Medicine PO BOX 2373
SAN MARCOS, California (CA)
951-736-4708
1023003670 VIKI T LIN
Individual
Family Medicine 2825 PLAZA DEL AMO
TORRANCE, California (CA)
310-701-2956