SAN DIMAS PAIN MANAGEMENT MEDICAL CENTER INC.
NPI 1124004114
Pain Medicine - Interventional Pain Medicine in Arcadia, CA

NPI Status: Active since December 21, 2005

Contact Information

125 WHEELER AVE
SUITE C
ARCADIA, CA
ZIP 91006
Phone: (626) 294-4866
Fax: (626) 294-4872

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine

About SAN DIMAS PAIN MANAGEMENT MEDICAL CENTER INC.

This page provides the complete NPI Profile along with additional information for San Dimas Pain Management Medical Center Inc., a provider established in Arcadia, California operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1124004114 assigned on December 2005. The practitioner's primary taxonomy code is 208VP0014X with license number A53113 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Bernadette A Clifford (Chief Operating Officer)

NPI
1124004114
Provider Name
SAN DIMAS PAIN MANAGEMENT MEDICAL CENTER INC.
Entity Type
Organization
Location Address
125 WHEELER AVE SUITE C ARCADIA, CA 91006
Location Phone
(626) 294-4866
Location Fax
(626) 294-4872
Mailing Address
125 WHEELER AVE SUITE C ARCADIA, CA 91006
Mailing Phone
(626) 294-4866
Mailing Fax
(626) 294-4872
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2005
Last Update Date
03-13-2023
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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

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
License No.
A53113
License State
CA
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

MS. BERNADETTE A CLIFFORD

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(626) 294-4866

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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 1124004114, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 0 + 0 + 8 + 1 + 2 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1124004114.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Marriage & Family Therapist
125 WHEELER AVE, SUITE C
ARCADIA, CA 91006
Non-Pharmacy Dispensing Site
125 WHEELER AVE, SUITE C
ARCADIA, CA 91006
Physical Medicine & Rehabilitation
125 WHEELER AVE, SUITE C
ARCADIA, CA 91006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124004114, enumerated as an "organization" on December 21, 2005.

The provider is located at 125 WHEELER AVE SUITE C ARCADIA, CA 91006 and the phone number is (626) 294-4866.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.