PACIFIC NEUROSCIENCE MEDICAL GROUP, INC. NPI 1144340662
Psychiatry & Neurology - Neurology in Oxnard, CA

Organization Psychiatry & Neurology Neurology CLIA Number 05D1016962 CLIA Certificate of Waiver

About PACIFIC NEUROSCIENCE MEDICAL GROUP, INC.

Pacific Neuroscience Medical Group, Inc. is a provider established in Oxnard, California specializing in Psychiatry & Neurology with a focus in neurology . The NPI number of Pacific Neuroscience Medical Group, Inc. is 1144340662 and was assigned on March 2007. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Pacific Neuroscience Medical Group, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Pacific Neuroscience Medical Group, Inc.. The authorized official of this NPI record is Dr. James P. Sutton M.d. (President - Medical Director)

NPI
1144340662
Provider NamePACIFIC NEUROSCIENCE MEDICAL GROUP, INC.
Provider Location Address1701 SOLAR DR SUITE 140 OXNARD, CA 93030
Provider Mailing Address1701 SOLAR DR SUITE 140 OXNARD, CA 93030
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NamePACIFIC NEUROSCIENCE MEDICAL GROUP, INC.
Other Name TypeDoing Business As (3)
Enumeration Date03-29-2007
Last Update Date08-01-2013



The CLIA number of Pacific Neuroscience Medical Group, Inc. is 05D1016962 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Pacific Neuroscience Medical Group, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.



Primary Taxonomy

Taxonomy Code2084N0400X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationNeurology
License StateCA
Taxonomy DescriptionA Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Business Address

PACIFIC NEUROSCIENCE MEDICAL GROUP, INC.
1701 SOLAR DR
SUITE 140
OXNARD, CA
ZIP 93030
Phone: (805) 278-4148
Fax: (805) 278-4634

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Mailing Address

PACIFIC NEUROSCIENCE MEDICAL GROUP, INC.
1701 SOLAR DR
SUITE 140
OXNARD, CA
ZIP 93030
Phone: (805) 278-4148
Fax: (805) 278-4634


Authorized Official

Authorized Official NameDR. JAMES P. SUTTON M.D.
Authorized Official TitlePRESIDENT - MEDICAL DIRECTOR
Authorized Official Phone(805) 278-4148

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 the NPI number 1144340662 is:

CLIA Number05D1016962
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

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.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistCANo

Taxonomy Description: a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
W15396MEDICARE ID-TYPE UNSPECIFIED (04)CA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144340662
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2184640612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 6 + 4 + 0 + 6 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1144340662 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326039322MR. LARRY PATRICK BROWN PT
Individual
Physical Therapist1701 SOLAR DR SUITE 155
OXNARD, CA 93030
(805) 604-4644
1598708190DR. MARWOOD M STOUT DDS
Individual
Dentist (Oral and Maxillofacial Surgery)1701 SOLAR DR SUITE 291
OXNARD, CA 93030
(805) 981-8144
1255421707DR. BRYAN RYO FUJII DDS
Individual
Dentist1701 SOLAR DR SUITE 270
OXNARD, CA 93030
(805) 983-3552
1114047628DR. JAMES P SUTTON M.D.
Individual
Psychiatry & Neurology (Neurology)1701 SOLAR DR SUITE 140
OXNARD, CA 93030
(805) 278-4148
1871710814LARRY BROWN D/B/A COAST PHYSICAL THERAPY SPEC
Organization
Specialist1701 SOLAR DR STE. 155
OXNARD, CA 93030
(805) 604-4644
1003033846MRS. TESSA WAGGONER PT
Individual
Specialist1701 SOLAR DR STE. 155
OXNARD, CA 93030
(805) 604-4644
1255668570 RAY JASON FAJARDO MS, PA-C
Individual
Physician Assistant1701 SOLAR DR SUITE 140
OXNARD, CA 93030
(805) 278-4148
1619302767CAWTHON DDS INC.
Organization
Dentist (Orthodontics and Dentofacial Orthopedics)1701 SOLAR DR SUITE 290
OXNARD, CA 93030
(805) 479-8706
1235255258 DAVID G MUSGROVE P.T.
Individual
Physical Therapist1701 SOLAR DR STE 155
OXNARD, CA 93030
(805) 654-8127
1972667178DR. PAUL MARTIN PH.D.
Individual
Clinical Neuropsychologist1701 SOLAR DR SUITE 261
OXNARD, CA 93030
(805) 660-0507

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Pacific Neuroscience Medical Group, Inc. is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.