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

This page provides the complete NPI Profile along with additional information for Pacific Medical Group, 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 6 years ago. Pacific 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 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.

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

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 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 1104430669, 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
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 4 → 8 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 8 + 3 + 0 + 6 + 1 + 2 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1104430669.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
5450 LINCOLN BLVD
LOS ANGELES, CA 90094
Clinic/Center (Urgent Care)
5450 LINCOLN BLVD
LOS ANGELES, CA 90094
Podiatrist
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Internal Medicine
5450 LINCOLN BLVD
LOS ANGELES, CA 90094
Chiropractor
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Prevention Professional
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Clinic/Center (Ambulatory Surgical)
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Personal Emergency Response Attendant
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Chiropractor
5450 LINCOLN BLVD
LOS ANGELES, CA 90094
Clinic/Center (Urgent Care)
5450 LINCOLN BLVD
LOS ANGELES, CA 90094
Nurse Practitioner (Family)
5450 LINCOLN BLVD
LOS ANGELES, CA 90094
Orthopaedic Surgery
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Neurological Surgery
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Nurse Practitioner (Family)
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094
Nurse Practitioner
5450 LINCOLN BLVD
PLAYA VISTA, CA 90094

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104430669, enumerated 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.

Surgery with taxonomy code 208600000X.