TUSTIN LONGEVITY CENTER
NPI 1023558210
Preferred Provider Organization in Tustin, CA

NPI Status: Active since March 07, 2017

Contact Information

13422 NEWPORT AVE
SUITE L
TUSTIN, CA
ZIP 92780
Phone: (714) 544-1521

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  • Organization
  • Preferred Provider Organization

About TUSTIN LONGEVITY CENTER

This page provides the complete NPI Profile along with additional information for Tustin Longevity Center, a provider established in Tustin, California operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1023558210 assigned on March 2017. The practitioner's primary taxonomy code is 305R00000X with license number G83575 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Rita R Ellithorpe Md (Medical Director)

NPI
1023558210
Provider Name
TUSTIN LONGEVITY CENTER
Entity Type
Organization
Location Address
13422 NEWPORT AVE SUITE L TUSTIN, CA 92780
Location Phone
(714) 544-1521
Mailing Address
13422 NEWPORT AVE SUITE L TUSTIN, CA 92780
Mailing Phone
(714) 544-1521
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2017
Last Update Date
03-07-2017
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
G83575
License State
CA
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

RITA R ELLITHORPE MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(714) 544-1521

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
G83575MEDICARE UPIN (02)CA 

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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 1023558210, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
0
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 8 → 16 → 7 1 → 2

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 + 5 + 1 + 6 + 2 + 2 + 24 = 50

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

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

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1023558210.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Radiologic Technologist (Radiography)
13422 NEWPORT AVE, SUITE I
TUSTIN, CA 92780
Obstetrics & Gynecology (Gynecology)
13422 NEWPORT AVE, SUITE L
TUSTIN, CA 92780
Dentist (General Practice)
13422 NEWPORT AVE, SUITE A
TUSTIN, CA 92780
Family Medicine
13422 NEWPORT AVE, SUITE L
TUSTIN, CA 92780
Dentist (General Practice)
13422 NEWPORT AVE, E
TUSTIN, CA 92780
Dentist (General Practice)
13422 NEWPORT AVE, STE B
TUSTIN, CA 92780
Radiologic Technologist (Radiography)
13422 NEWPORT AVE, SUITE I
TUSTIN, CA 92780
General Practice
13422 NEWPORT AVE, SUITE L
TUSTIN, CA 92780

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023558210, enumerated as an "organization" on March 07, 2017.

The provider is located at 13422 NEWPORT AVE SUITE L TUSTIN, CA 92780 and the phone number is (714) 544-1521.

Preferred Provider Organization with taxonomy code 305R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.