EBENEZER WELLNESS CENTER, INC.
NPI 1114339272
General Practice in Irvine, CA

NPI Status: Active since May 23, 2014

Contact Information

16261 LAGUNA CANYON RD
SUITE 100
IRVINE, CA
ZIP 92618
Phone: (714) 636-3886

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  • Organization
  • General Practice

About EBENEZER WELLNESS CENTER, INC.

This page provides the complete NPI Profile along with additional information for Ebenezer Wellness Center, Inc., a primary care provider established in Irvine, California operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1114339272 assigned on May 2014. The practitioner's primary taxonomy code is 208D00000X with license number A86714 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. Ebenezer Wellness Center, Inc. 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 Junghee Kim L.ac (Vice President)

NPI
1114339272
Provider Name
EBENEZER WELLNESS CENTER, INC.
Entity Type
Organization
Location Address
16261 LAGUNA CANYON RD SUITE 100 IRVINE, CA 92618
Location Phone
(714) 636-3886
Mailing Address
16261 LAGUNA CANYON RD SUITE 100 IRVINE, CA 92618
Mailing Phone
(714) 636-3886
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2014
Last Update Date
05-23-2014
Code Navigator

A primary care provider (PCP) like Ebenezer Wellness Center, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
A86714
License State
CA
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JUNGHEE KIM L.AC

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(714) 618-3942

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A86714OTHER (01)CACA MEDICAL BOARD

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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 1114339272, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 1 → 2 3 → 6 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 6 + 3 + 1 + 8 + 2 + 1 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1114339272.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Acupuncturist
16261 LAGUNA CANYON RD, SUITE 100
IRVINE, CA 92618

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114339272, enumerated as an "organization" on May 23, 2014.

The provider is located at 16261 LAGUNA CANYON RD SUITE 100 IRVINE, CA 92618 and the phone number is (714) 636-3886.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.