SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
NPI 1063279651
Dietitian, Registered in Riverside, CA

NPI Status: Active since March 01, 2024

Contact Information

3951 VAN BUREN BLVD
RIVERSIDE, CA
ZIP 92503
Phone: (866) 862-4295

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Dietitian, Registered

About SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Southern California Permanente Medical Group, a provider established in Riverside, California operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1063279651 assigned on March 2024. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Southern California Permanente Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Madonna Holbrook-lowe (Department Administrator)

NPI: 1063279651
Provider Name: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Entity Type: Organization
Location Address: 3951 VAN BUREN BLVD RIVERSIDE, CA 92503
Location Phone: (866) 862-4295
Mailing Address: 3951 VAN BUREN BLVD RIVERSIDE, CA 92503
Mailing Phone: (866) 883-0119
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-01-2024
Last Update Date: 03-01-2024
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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: Dietitian, Registered
Taxonomy Code: 133V00000X
Type: Dietary & Nutritional Service Providers
Taxonomy Description: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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: MADONNA HOLBROOK-LOWE
Authorized Official Title: DEPARTMENT ADMINISTRATOR
Authorized Official Phone: (951) 233-0023

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 1063279651, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 12 → 1 + 2

Pos 4

Unchanged

Pos 5

Doubled → 4

Pos 6

Unchanged

Pos 7

Doubled → 18 → 1 + 8

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

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 6 → 12 → 3 2 → 4 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 2 + 3 + 4 + 7 + 1 + 8 + 6 + 1 + 0 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1

This NPI is valid

The calculated check digit is 1, which matches the last digit of 1063279651.