FAMILY CARE CENTERS MEDICAL GOUP
NPI 1134557655
Clinic/Center - Multi-Specialty in Newport Beach, CA
NPI Status: Active since October 18, 2013
Contact Information
1441 AVOCADO AVE STE 503
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 718-9020
Fax: (949) 718-9040
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 05D2007572
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 05-18-2026
About FAMILY CARE CENTERS MEDICAL GOUP
This page provides the complete NPI Profile along with additional information for Family Care Centers Medical Goup, a provider established in Newport Beach, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1134557655 assigned on October 2013. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Family Care Centers Medical Goup operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Family Care Centers Medical Goup. The authorized official of this NPI record is Dr. David S Kim Md (President)
- NPI
- 1134557655
- Provider Legal Name
- COASTAL FAMILY MEDICINE, INC
- Other Organization Name
- FAMILY CARE CENTERS MEDICAL GOUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1441 AVOCADO AVE STE 503 NEWPORT BEACH, CA 92660
- Location Phone
- (949) 718-9020
- Location Fax
- (949) 718-9040
- Mailing Address
- PO BOX 2218 SUISUN CITY, CA 94585
- Mailing Phone
- (657) 241-3600
- Mailing Fax
- (949) 718-9040
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-18-2013
- Last Update Date
- 02-21-2024
- Code Navigator
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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 3 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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.
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.
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 |
|---|---|---|---|
| DE5878 | OTHER (01) | CA | MEDICARE RAILROAD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2007572
- Facility Type
- Practitioner Other
- Certificate Effective Date
- May 19, 2024
- Certificate Expiration Date
- May 18, 2026
- Laboratory Director
- CATOU L. GREENBERG
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Family Care Centers Medical Goup in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1134557655, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92660
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134557655, enumerated as an "organization" on October 18, 2013.
The provider is located at 1441 AVOCADO AVE STE 503 NEWPORT BEACH, CA 92660 and the phone number is (949) 718-9020.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
