NELLIE GAIL URGENT CARE MEDICAL CORP
NPI 1073909859
Clinic/Center - Urgent Care in Laguna Hills, CA
NPI Status: Active since April 08, 2015
Contact Information
27001 MOULTON PKWY
SUITE A-102
LAGUNA HILLS, CA
ZIP 92656
Phone: (949) 600-1907
Fax: (949) 600-1912
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 05D2170908
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-01-2027
About NELLIE GAIL URGENT CARE MEDICAL CORP
This page provides the complete NPI Profile along with additional information for Nellie Gail Urgent Care Medical Corp, a provider established in Laguna Hills, California operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1073909859 assigned on April 2015. The practitioner's primary taxonomy code is 261QU0200X with license number FNP544683 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jack Bailey Vu M.d. (Physician)
- NPI
- 1073909859
- Provider Name
- NELLIE GAIL URGENT CARE MEDICAL CORP
- Entity Type
- Organization
- Location Address
- 27001 MOULTON PKWY SUITE A-102 LAGUNA HILLS, CA 92656
- Location Phone
- (949) 600-1907
- Location Fax
- (949) 600-1912
- Mailing Address
- 27001 MOULTON PKWY SUITE A-102 LAGUNA HILLS, CA 92656
- Mailing Phone
- (949) 600-1907
- Mailing Fax
- (949) 600-1912
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-08-2015
- Last Update Date
- 09-22-2015
- 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
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
- License No.
- FNP544683
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 05D2170908
- Facility Type
- Physician Office
- Certificate Effective Date
- December 02, 2025
- Certificate Expiration Date
- December 01, 2027
- Laboratory Director
- MEHRDAD SALIMKHANIAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Nellie Gail Urgent Care Medical Corp 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 1073909859, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
ALISO VIEJO, CA 92656
LAGUNA HILLS, CA 92656
LAGUNA HILLS, CA 92656
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073909859, enumerated as an "organization" on April 08, 2015.
The provider is located at 27001 MOULTON PKWY SUITE A-102 LAGUNA HILLS, CA 92656 and the phone number is (949) 600-1907.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
