CALIFORNIA ADDICTION INSTITUTE OF MIND AND MEDICINE
NPI 1023565579
Clinic/Center - Rehabilitation, Substance Use Disorder in Santa Ana, CA

NPI Status: Active since September 01, 2016

Contact Information

1533 E 4TH ST
SANTA ANA, CA
ZIP 92701
Phone: (800) 779-4715
Fax: (949) 347-8709

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About CALIFORNIA ADDICTION INSTITUTE OF MIND AND MEDICINE

This page provides the complete NPI Profile along with additional information for California Addiction Institute Of Mind And Medicine, a provider established in Santa Ana, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1023565579 assigned on September 2016. The practitioner's primary taxonomy code is 261QR0405X with license number A100516 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as California Addiction Institute Of Mind And Medicine. The authorized official of this NPI record is Faried Banimahd Md (Ceo)

NPI
1023565579
Provider Legal Name
AMERICAN ADDICTION INSTITUTE OF MIND AND MEDICINE
Other Organization Name
CALIFORNIA ADDICTION INSTITUTE OF MIND AND MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1533 E 4TH ST SANTA ANA, CA 92701
Location Phone
(800) 779-4715
Location Fax
(949) 347-8709
Mailing Address
1835 NEWPORT BLVD. A109-559 COSTA MESA CALIFORNIA, CA 92627
Mailing Phone
(949) 929-6203
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-01-2016
Last Update Date
02-19-2020
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
A100516
License State
CA

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

FARIED BANIMAHD MD

Authorized Official Title
CEO
Authorized Official Phone
(949) 347-8721

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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.
1023565579
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
204310610514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 0 + 6 + 1 + 0 + 5 + 1 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1023565579 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

SANDRA MCCLINTOCK CATC II

Counselor

(Addiction (Substance Use Disorder))

1533 E 4TH ST
SANTA ANA, CA
ZIP 92701

(800) 779-4715

DR. FARIED BANIMAHD MD

Internal Medicine

(Addiction Medicine)

1533 E 4TH ST
SANTA ANA, CA
ZIP 92701

(949) 347-8721

ALEXIS WAIDHOFER PA-C

Physician Assistant

1533 E 4TH ST
SANTA ANA, CA
ZIP 92701

(888) 339-2339

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023565579, enumerated as an "organization" on September 01, 2016.

The provider is located at 1533 E 4TH ST SANTA ANA, CA 92701 and the phone number is (800) 779-4715.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.