MR. ADAM GEORGE HENDRIKSEN IDMT
NPI 1114372786
Military Health Care Provider - Independent Duty Medical Technicians in El Segundo, CA

NPI Status: Active since May 02, 2016

Contact Information

483 N AVIATION BLVD
EL SEGUNDO, CA
ZIP 90245
Phone: (310) 653-2873

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  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Medical Technicians

About ADAM HENDRIKSEN

This page provides the complete NPI Profile along with additional information for Adam Hendriksen, a provider established in El Segundo, California with a medical specialization in Military Health Care Provider, focusing in independent duty medical technicians . The healthcare provider is registered in the NPI registry with number 1114372786 assigned on May 2016. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1114372786
Provider Name
MR. ADAM GEORGE HENDRIKSEN IDMT
Gender
Male
Entity Type
Individual
Location Address
483 N AVIATION BLVD EL SEGUNDO, CA 90245
Location Phone
(310) 653-2873
Mailing Address
483 N AVIATION BLVD EL SEGUNDO, CA 90245
Mailing Phone
(310) 653-2873
Is Sole Proprietor?
No
Enumeration Date
05-02-2016
Last Update Date
05-02-2016
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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

Military Health Care Provider Independent Duty Medical Technicians

Taxonomy Code
1710I1003X
Type
Other Service Providers
Taxonomy Description
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

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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 1114372786, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
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 2 → 4 8 → 16 → 7

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 + 7 + 4 + 7 + 1 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1114372786.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Dentist (General Practice)
483 N AVIATION BLVD, 61ST MEDICAL GROUP/SGD; #210
EL SEGUNDO, CA 90245
Physician Assistant (Medical)
483 N AVIATION BLVD, 61ST MEDICAL GROUP/SGPF
EL SEGUNDO, CA 90245
Social Worker (Clinical)
483 N AVIATION BLVD, 61 MDS/SGOH
EL SEGUNDO, CA 90245
Dentist (General Practice)
483 N AVIATION BLVD, LOS ANGELES AFB/61MDS/SGD
EL SEGUNDO, CA 90245
Physical Therapist
483 N AVIATION BLVD, BLDG 210
EL SEGUNDO, CA 90245
Pharmacist
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Dietitian, Registered
483 N AVIATION BLVD, 61 MEDICAL SQUADRON LAAFB
EL SEGUNDO, CA 90245
Pediatrics
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Physician Assistant
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Family Medicine
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Physician Assistant
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Dietitian, Registered
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Physical Therapist
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Pediatrics
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Social Worker (Clinical)
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Social Worker (Clinical)
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Optometrist
483 N AVIATION BLVD
EL SEGUNDO, CA 90245
Preventive Medicine (Occupational Medicine)
483 N AVIATION BLVD
EL SEGUNDO, CA 90245

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114372786, enumerated as an "individual" on May 02, 2016.

The provider is located at 483 N AVIATION BLVD EL SEGUNDO, CA 90245 and the phone number is (310) 653-2873.

Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.