IMMERSIVE WELLNESS CENTERS, LLC
NPI 1104408780
Clinic/Center - Rehabilitation, Substance Use Disorder in San Clemente, CA
NPI Status: Active since April 23, 2021
Contact Information
120 CRISTIANITOS ROAD
UNIT 14207
SAN CLEMENTE, CA
ZIP 92673
Phone: (619) 871-7345
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About IMMERSIVE WELLNESS CENTERS, LLC
This page provides the complete NPI Profile along with additional information for Immersive Wellness Centers, Llc, a provider established in San Clemente, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1104408780 assigned on April 2021. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Angela Mcmahon Edd (Coo)
- NPI
- 1104408780
- Provider Name
- IMMERSIVE WELLNESS CENTERS, LLC
- Entity Type
- Organization
- Location Address
- 120 CRISTIANITOS ROAD UNIT 14207 SAN CLEMENTE, CA 92673
- Location Phone
- (619) 871-7345
- Mailing Address
- 34145 PACIFIC COAST HWY # 728 DANA POINT, CA 92629
- Mailing Phone
- (619) 871-7345
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-23-2021
- Last Update Date
- 04-23-2021
- 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 Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
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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 1104408780, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104408780, enumerated as an "organization" on April 23, 2021.
The provider is located at 120 CRISTIANITOS ROAD UNIT 14207 SAN CLEMENTE, CA 92673 and the phone number is (619) 871-7345.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
