MOULTON FAMILY MEDICINE
NPI 1164564712
Non-Pharmacy Dispensing Site in Lake Forest, CA
NPI Status: Active since February 12, 2007
Contact Information
22611 LAKE FOREST DR
C-4
LAKE FOREST, CA
ZIP 92630
Phone: (949) 951-9399
- Organization
- Non-Pharmacy Dispensing Site
About MOULTON FAMILY MEDICINE
This page provides the complete NPI Profile along with additional information for Moulton Family Medicine, a provider established in Lake Forest, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1164564712 assigned on February 2007. The practitioner's primary taxonomy code is 332900000X with license number A47792 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Kenny Heine (Director Of Operations)
- NPI
- 1164564712
- Provider Name
- MOULTON FAMILY MEDICINE
- Entity Type
- Organization
- Location Address
- 22611 LAKE FOREST DR C-4 LAKE FOREST, CA 92630
- Location Phone
- (949) 951-9399
- Mailing Address
- 5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-12-2007
- Last Update Date
- 10-17-2012
- 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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- A47792
- License State
- CA
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Reviews for MOULTON FAMILY MEDICINE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1164564712, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
LAKE FOREST, CA 92630
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164564712, enumerated as an "organization" on February 12, 2007.
The provider is located at 22611 LAKE FOREST DR C-4 LAKE FOREST, CA 92630 and the phone number is (949) 951-9399.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
