FORM MD PLASTIC SURGERY
NPI 1164053104
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Mission Viejo, CA
NPI Status: Active since January 29, 2020
Contact Information
26691 PLAZA STE 200
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 998-2020
- Organization
- Otolaryngology
- Otolaryngology/Facial Plastic Surgery
About FORM MD PLASTIC SURGERY
This page provides the complete NPI Profile along with additional information for Form Md Plastic Surgery, a provider established in Mission Viejo, California operating as a Otolaryngology, focusing in otolaryngology/facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1164053104 assigned on January 2020. The practitioner's primary taxonomy code is 207YX0905X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Form Md Plastic Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Taylor R Pollei Md (Ceo/provider)
- NPI
- 1164053104
- Provider Name
- FORM MD PLASTIC SURGERY
- Entity Type
- Organization
- Location Address
- 26691 PLAZA STE 200 MISSION VIEJO, CA 92691
- Location Phone
- (949) 998-2020
- Mailing Address
- 26691 PLAZA STE 200 MISSION VIEJO, CA 92691
- Mailing Phone
- (949) 998-2020
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-29-2020
- Last Update Date
- 04-26-2023
- 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
Otolaryngology Otolaryngology/Facial Plastic Surgery
- Taxonomy Code
- 207YX0905X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 2 | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center |
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.
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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 1164053104, 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.
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 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164053104, enumerated as an "organization" on January 29, 2020.
The provider is located at 26691 PLAZA STE 200 MISSION VIEJO, CA 92691 and the phone number is (949) 998-2020.
Otolaryngology with taxonomy code 207YX0905X and a focus in Otolaryngology/Facial Plastic Surgery.
