BEACHSIDE WELLNESS GROUP
NPI 1104144112
Chiropractor in Long Beach, CA

NPI Status: Active since May 14, 2010

Contact Information

100 W BROADWAY
STE. 1400
LONG BEACH, CA
ZIP 90802
Phone: (562) 495-2121
Fax: (562) 495-3131

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  • Organization
  • Chiropractor

About BEACHSIDE WELLNESS GROUP

This page provides the complete NPI Profile along with additional information for Beachside Wellness Group, a provider established in Long Beach, California operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1104144112 assigned on May 2010. The practitioner's primary taxonomy code is 111N00000X with license number DC-30596 (CA). The provider is registered as an organization and their NPI record was last updated 16 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 provider's is doing business as Beachside Wellness Group. The authorized official of this NPI record is Dr. Kerry Clisby Jr. D.c. (Doctor)

NPI
1104144112
Provider Legal Name
CLISBY CHIROPRACTIC, INC
Other Organization Name
BEACHSIDE WELLNESS GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 W BROADWAY STE. 1400 LONG BEACH, CA 90802
Location Phone
(562) 495-2121
Location Fax
(562) 495-3131
Mailing Address
100 W BROADWAY STE. 1400 LONG BEACH, CA 90802
Mailing Phone
(562) 495-2121
Mailing Fax
(562) 495-3131
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2010
Last Update Date
05-14-2010
Code Navigator

A chiropractor like Beachside Wellness Group helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

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

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
License No.
DC-30596
License State
CA
Taxonomy Description
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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.

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

DR. KERRY CLISBY JR. D.C.

Authorized Official Title
DOCTOR
Authorized Official Phone
(562) 495-2121

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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 1104144112, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
2
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 0 → 0 1 → 2 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 2 + 4 + 8 + 1 + 2 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104144112.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Rehabilitation Practitioner
100 W BROADWAY
LONG BEACH, CA 90802
Chiropractor
100 W BROADWAY, STE. 1400
LONG BEACH, CA 90802
Rehabilitation Practitioner
100 W BROADWAY
LONG BEACH, CA 90802
Specialist
100 W BROADWAY
LONG BEACH, CA 90802
Rehabilitation Practitioner
100 W BROADWAY, SUITE 5010
LONG BEACH, CA 90802
Psychologist
100 W BROADWAY, SUITE 5010
LONG BEACH, CA 90802
Rehabilitation Practitioner
100 W BROADWAY, SUITE 5010
LONG BEACH, CA 90802
Licensed Vocational Nurse
100 W BROADWAY, SUITE 5005
LONG BEACH, CA 90802
Student in an Organized Health Care Education/Training Program
100 W BROADWAY, SUITE 5010
LONG BEACH, CA 90802
Rehabilitation Practitioner
100 W BROADWAY, SUITE 5010
LONG BEACH, CA 90802
Case Manager/Care Coordinator
100 W BROADWAY, 5010
LONG BEACH, CA 90802
Rehabilitation Practitioner
100 W BROADWAY, STE 5010
LONG BEACH, CA 90802
Rehabilitation Practitioner
100 W BROADWAY, SUITE 5010
LONG BEACH, CA 90802
Rehabilitation Practitioner
100 W BROADWAY, SUITE 5010
LONG BEACH, CA 90802
Student in an Organized Health Care Education/Training Program
100 W BROADWAY, SUITE 5010
LONG BEACH, CA 90802
Rehabilitation Practitioner
100 W BROADWAY, SUITE 5005
LONG BEACH, CA 90802
Student in an Organized Health Care Education/Training Program
100 W BROADWAY
LONG BEACH, CA 90802
Case Manager/Care Coordinator
100 W BROADWAY
LONG BEACH, CA 90802
Case Manager/Care Coordinator
100 W BROADWAY, SUITE 5010
LONG BEACH, CA 90802
Specialist
100 W BROADWAY, SUITE 5010
LONG BEACH, CA 90802

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104144112, enumerated as an "organization" on May 14, 2010.

The provider is located at 100 W BROADWAY STE. 1400 LONG BEACH, CA 90802 and the phone number is (562) 495-2121.

Chiropractor with taxonomy code 111N00000X.