IMPACT
IMPACT is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1477175883, based in San Diego, CA. The organization lists 3 taxonomy classifications, with Licensed Practical Nurse recorded as primary.
Getting there
The practice address on file is 1260 MORENA BLVD STE 100, San Diego, CA 92110. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
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 Licensed Practical Nurse covers
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. NUCC Health Care Provider Taxonomy, code 164W00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | — | — | primary |
| 101YM0800X | Mental Health Counselor Mental Health | — | — | |
| 251S00000X | Community/Behavioral Health Agency | — | — |
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 | 1477175883 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 8, 2020 |
| Last updated | Oct 14, 2021 |
| Status | Active |
| Practice address |
1260 MORENA BLVD STE 100 San Diego, CA 92110 (619) 232-4357 |
| Mailing address |
1260 MORENA BLVD San Diego, CA 92110 |
| Other identifiers |
201902804LPN
· Other (OR) 719792 · Other (CA) VN719792 · Other (CA) |
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 | 4 | 7 | 7 | 1 | 7 | 5 | 8 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 5 | 7 | 2 | 7 | 1 | 8 | 7 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
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.