PACIFIC MEDICAL GROUP
NPI 1104430669
Surgery in Playa Vista, CA

NPI Status: Active since September 02, 2020

Contact Information

5450 LINCOLN BLVD
PLAYA VISTA, CA
ZIP 90094
Phone: (310) 305-9200
Fax: (310) 305-2800

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  • Organization
  • Surgery

About PACIFIC MEDICAL GROUP

Pacific Medical Group is a provider established in Playa Vista, California operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1104430669 assigned on September 2020. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Pacific Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Samson Yirgu (Manager)

NPI
1104430669
Provider Name
PACIFIC MEDICAL GROUP
Entity Type
Organization
Location Address
5450 LINCOLN BLVD PLAYA VISTA, CA 90094
Location Phone
(310) 305-9200
Location Fax
(310) 305-2800
Mailing Address
4712 ADMIRALTY WAY # 574 MARINA DEL REY, CA 90292
Mailing Phone
(310) 305-9200
Mailing Fax
(310) 305-2800
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-02-2020
Last Update Date
09-02-2020
Code Navigator

A surgeon like Pacific Medical Group treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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

SAMSON YIRGU

Authorized Official Title
MANAGER
Authorized Official Phone
(310) 305-9200

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104430669
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104830612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 8 + 3 + 0 + 6 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1104430669 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659624682PLAYA ADVANCE SURGICAL INSTITUTE LLC
Organization
Clinic/Center (Ambulatory Surgical)5450 LINCOLN BLVD
LOS ANGELES, CA 90094
(310) 600-5846
1689019879PLAYA ADVANCE URGENT CARE INC
Organization
Clinic/Center (Urgent Care)5450 LINCOLN BLVD
LOS ANGELES, CA 90094
(310) 305-9200
1760876783RMPM GROUP INC
Organization
Podiatrist5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
(949) 431-4417
1689612897DR. ASONGU JOSEPHINE NCHO MD
Individual
Internal Medicine5450 LINCOLN BLVD
LOS ANGELES, CA 90094
(310) 305-9200
1285168955DR. MARINA NIKIFOROVA D.C.
Individual
Chiropractor5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
(310) 305-9200
1689100745PLAYA MEDICAL MANAGEMENT LLC
Organization
Prevention Professional5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
(310) 305-9200
1972025948SILICON BEACH SURGERY CENTER INC
Organization
Clinic/Center (Ambulatory Surgical)5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
(310) 305-9200
1649315508DR. CASPER GLENN M.D.
Individual
Personal Emergency Response Attendant5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
(310) 305-9200
1952888596MARINA CHIROPRACTIC CORP.
Organization
Chiropractor5450 LINCOLN BLVD
LOS ANGELES, CA 90094
(310) 305-9200
1437784873MS. YERANUI STEPANYAN MSN, FNP-C
Individual
Nurse Practitioner (Family)5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
(310) 305-9200
1366964330SILICON BEACH MEDICAL CENTER INC
Organization
Clinic/Center (Urgent Care)5450 LINCOLN BLVD
LOS ANGELES, CA 90094
(310) 305-9200
1306448352 ANTHONY SALVADOR
Individual
Nurse Practitioner (Family)5450 LINCOLN BLVD
LOS ANGELES, CA 90094
(310) 305-9200
1508501503LAX MEDICAL GROUP, INC
Organization
Orthopaedic Surgery5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
(310) 867-5556
1356030738NEUROLOGY & PAIN MANAGEMENT SPECIALISTS INC
Organization
Neurological Surgery5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
(310) 305-9200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104430669, enumerated in the NPI registry as an "organization" on September 02, 2020

The provider is located at 5450 Lincoln Blvd Playa Vista, Ca 90094 and the phone number is (310) 305-9200

This medical organization specializes in Surgery with taxonomy code 208600000X

This NPI record was last updated on September 02, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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