OPTIMUM MEDICAL CLINICS, INC
NPI 1043520885
Non-Pharmacy Dispensing Site in Newport Beach, CA
NPI Status: Active since October 14, 2010
Contact Information
20072 SW BIRCH ST
SUITE 100
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 757-1150
- Organization
- Non-Pharmacy Dispensing Site
- CLIA Number: 05D0975225
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-28-2026
About OPTIMUM MEDICAL CLINICS, INC
This page provides the complete NPI Profile along with additional information for Optimum Medical Clinics, Inc, a provider established in Newport Beach, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1043520885 assigned on October 2010. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Samuel K. Park M.d. (Medical Director)
- NPI
- 1043520885
- Provider Name
- OPTIMUM MEDICAL CLINICS, INC
- Entity Type
- Organization
- Location Address
- 20072 SW BIRCH ST SUITE 100 NEWPORT BEACH, CA 92660
- Location Phone
- (949) 757-1150
- Mailing Address
- 2980 N BEVERLY GLEN CIR SUITE 301 LOS ANGELES, CA 90077
- Mailing Phone
- (310) 474-9809
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-14-2010
- Last Update Date
- 03-01-2011
- Code Navigator
Location Map
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
- 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.)
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0975225
- Facility Type
- Physician Office
- Certificate Effective Date
- June 29, 2024
- Certificate Expiration Date
- June 28, 2026
- Laboratory Director
- ELLEN SONG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Optimum Medical Clinics, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1043520885, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92660
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043520885, enumerated as an "organization" on October 14, 2010.
The provider is located at 20072 SW BIRCH ST SUITE 100 NEWPORT BEACH, CA 92660 and the phone number is (949) 757-1150.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
