PACIFIC BREAST CARE CENTER
NPI 1144564469
Clinic/Center - Medical Specialty in Costa Mesa, CA

NPI Status: Active since November 27, 2012

Contact Information

1640 NEWPORT BLVD STE 200
COSTA MESA, CA
ZIP 92627
Phone: (949) 515-3544
Fax: (949) 515-3644

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  • Organization
  • Clinic/Center
  • Medical Specialty

About PACIFIC BREAST CARE CENTER

Pacific Breast Care Center is a provider established in Costa Mesa, California operating as a Clinic/center with a focus in medical specialty . The healthcare provider is registered in the NPI registry with number 1144564469 assigned on November 2012. The practitioner's primary taxonomy code is 261QM2500X with license number 060000148 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. John A Heydt M.d. (Chief Executive Officer)

NPI
1144564469
Provider Name
PACIFIC BREAST CARE CENTER
Entity Type
Organization
Location Address
1640 NEWPORT BLVD STE 200 COSTA MESA, CA 92627
Location Phone
(949) 515-3544
Location Fax
(949) 515-3644
Mailing Address
1640 NEWPORT BLVD STE 200 COSTA MESA, CA 92627
Mailing Phone
(949) 515-3544
Mailing Fax
(949) 515-3644
Is Sole Proprietor?
N/A
Is Organization Subpart?
Yes
Enumeration Date
11-27-2012
Last Update Date
11-27-2012
Code Navigator

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 Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
060000148
License State
CA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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

DR. JOHN A HEYDT M.D.

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(714) 456-2986

Reviews for PACIFIC BREAST CARE CENTER

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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.
1144564469
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21841068412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 0 + 6 + 8 + 4 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1144564469 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194936922PACIFIC BREAST CARE MEDICAL GROUP, INC.
Organization
Radiology (Diagnostic Ultrasound)1640 NEWPORT BLVD STE 200
COSTA MESA, CA 92627
(949) 515-3544
1326203167 CATHERINE J PIKE PT
Individual
Specialist1640 NEWPORT BLVD STE 200
COSTA MESA, CA 92627
(877) 378-0401
1639119274DR. LYNDA L FRYE M.D.
Individual
Radiology (Diagnostic Radiology)1640 NEWPORT BLVD STE 200
COSTA MESA, CA 92627
(877) 378-0401
1750802195DR. SUL KI HAN OD
Individual
Optometrist1640 NEWPORT BLVD STE 200
COSTA MESA, CA 92627
(949) 879-5046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144564469, enumerated in the NPI registry as an "organization" on November 27, 2012

The provider is located at 1640 Newport Blvd Ste 200 Costa Mesa, Ca 92627 and the phone number is (949) 515-3544

This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty

This NPI record was last updated on November 27, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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