PERFORMANCE HEALTH MEDICAL GROUP
NPI 1023511045
Non-Pharmacy Dispensing Site in Laguna Hills, CA

NPI Status: Active since March 15, 2018

Contact Information

25431 CABOT ROAD SUITE 118
LAGUNA HILLS, CA
ZIP 92653
Phone: (479) 636-9702
Fax: (877) 427-2307

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  • Organization
  • Non-Pharmacy Dispensing Site

About PERFORMANCE HEALTH MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Performance Health Medical Group, a provider established in Laguna Hills, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1023511045 assigned on March 2018. The practitioner's primary taxonomy code is 332900000X with license number G45164 (CA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Performance Health Medical Group. The authorized official of this NPI record is Mrs. Amanda Gonzalez (Ncpdp Coordinator)

NPI
1023511045
Provider Legal Name
PERFORMANCE HEALTH MEDICAL GROUP
Other Organization Name
PERFORMANCE HEALTH MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
25431 CABOT ROAD SUITE 118 LAGUNA HILLS, CA 92653
Location Phone
(479) 636-9702
Location Fax
(877) 427-2307
Mailing Address
PO BOX 3328 BENTONVILLE, AR 72712
Mailing Phone
(479) 636-9702
Mailing Fax
(877) 427-2307
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-15-2018
Last Update Date
03-15-2018
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
G45164
License State
CA
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. AMANDA GONZALEZ

Authorized Official Title
NCPDP COORDINATOR
Authorized Official Phone
(479) 636-9702

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023511045, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 1 + 0 + 1 + 2 + 0 + 8 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1023511045.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023511045, enumerated as an "organization" on March 15, 2018.

The provider is located at 25431 CABOT ROAD SUITE 118 LAGUNA HILLS, CA 92653 and the phone number is (479) 636-9702.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.