SHADY GLEN FACILITY
SHADY GLEN FACILITY is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003046566, based in San Bernardino, CA. It is classified under Developmental Disabilities Clinic/Center.
Getting there
Here is what surrounds this office in San Bernardino, based on OpenStreetMap data collected Sep 2, 2026. No dedicated parking is recorded within walking distance, so allow extra time to find street parking. The nearest transit stop is 0.35 mi away, served by Barton @ Waterman Eastbound.
Getting here and what is nearby
Restaurant Del Taco 0.29 mi ~6 min
Transit Barton @ Wier Westbound 0.31 mi ~7 min
Transit Barton @ Wier Eastbound 0.34 mi ~7 min
Transit Barton @ Waterman Eastbound 0.35 mi ~8 min
Hotel Motel 6 San Bernardino, CA - South 0.51 mi ~11 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 360911227 | CA | Developmental Disabilities Clinic/Center primary |
This provider holds licence 360911227 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Developmental Disabilities covers
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). NUCC Health Care Provider Taxonomy, code 261QD1600X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003046566 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 19, 2009 |
| Last updated | Jul 29, 2009 |
| Status | Active |
| Practice address |
2571 SHADY GLEN LN San Bernardino, CA 92408 (909) 783-8806 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 0 | 4 | 6 | 5 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 0 | 4 | 3 | 5 | 3 |
Sum = 44 · next multiple of 10 = 50 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.