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
1003819194 ADVANCED INFUSION SYSTEMS, INC.
ADVANCED INFUSION SYSTEMS
Organization
Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition 145 E DANA ST
MOUNTAIN VIEW, California (CA)
650-961-6355
1003819863 DANIEL P. SHEPARD
Individual
Specialist 910 E STOWELL RD
SANTA MARIA, California (CA)
805-347-8779
1003819988 CARMEL ORTHOPEDIC & SPORTS THERAPY
SOLEDAD ORTHOPEDIC PHYSICAL THERAPY
Organization
Physical Therapist 245 CROSSROADS BLVD
CARMEL, California (CA)
831-620-0744
1003819566 JOHN S MILLER
Individual
Psychologist, Clinical PO BOX 483
DAVIS, California (CA)
530-758-1580
1003819301 ERIC JAMES POULSEN
Individual
Ophthalmology 1360 E HERNDON AVE
FRESNO, California (CA)
559-449-5050