OAC SOUTHERN MEDICAL PROFESSIONAL CORPORATION
NPI 1164777090
Physical Medicine & Rehabilitation - Sports Medicine in Newport Beach, CA

NPI Status: Active since July 17, 2012

Contact Information

3300 W COAST HWY
SUITE A
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 209-0220
Fax: (949) 270-5139

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  • Organization
  • Physical Medicine & Rehabilitation
  • Sports Medicine

About OAC SOUTHERN MEDICAL PROFESSIONAL CORPORATION

This page provides the complete NPI Profile along with additional information for Oac Southern Medical Professional Corporation, a provider established in Newport Beach, California operating as a Physical Medicine & Rehabilitation, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1164777090 assigned on July 2012. The practitioner's primary taxonomy code is 2081S0010X with license number 20A10143 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Maryam Rahimi D.o. (President)

NPI
1164777090
Provider Name
OAC SOUTHERN MEDICAL PROFESSIONAL CORPORATION
Entity Type
Organization
Location Address
3300 W COAST HWY SUITE A NEWPORT BEACH, CA 92663
Location Phone
(949) 209-0220
Location Fax
(949) 270-5139
Mailing Address
23430 HAWTHORNE BLVD SUITE 125 TORRANCE, CA 90505
Mailing Phone
(310) 373-0555
Mailing Fax
(949) 270-5139
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2012
Last Update Date
07-17-2012
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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

Physical Medicine & Rehabilitation Sports Medicine

Taxonomy Code
2081S0010X
Type
Allopathic & Osteopathic Physicians
License No.
20A10143
License State
CA
Taxonomy Description
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MARYAM RAHIMI D.O.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(310) 634-1146

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
6602160002MEDICARE NSC (07)CA 

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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 1164777090, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 7 → 14 → 5 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 4 + 7 + 1 + 4 + 0 + 1 + 8 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1164777090.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
3300 W COAST HWY, SUITE B
NEWPORT BEACH, CA 92663
Internal Medicine (Cardiovascular Disease)
3300 W COAST HWY, SUITE A
NEWPORT BEACH, CA 92663
Physical Medicine & Rehabilitation (Sports Medicine)
3300 W COAST HWY, SUITE C
NEWPORT BEACH, CA 92663
Family Medicine
3300 W COAST HWY
NEWPORT BEACH, CA 92663
Radiology (Diagnostic Radiology)
3300 W COAST HWY
NEWPORT BEACH, CA 92663
Podiatrist (Foot & Ankle Surgery)
3300 W COAST HWY, SUITE A
NEWPORT BEACH, CA 92663
Orthopaedic Surgery
3300 W COAST HWY
NEWPORT BEACH, CA 92663
Homeopath
3300 W COAST HWY
NEWPORT BEACH, CA 92663
Clinic/Center (Radiology)
3300 W COAST HWY, SUITE B
NEWPORT BEACH, CA 92663
Obstetrics & Gynecology
3300 W COAST HWY, SUITE A
NEWPORT BEACH, CA 92663
Nurse Practitioner (Adult Health)
3300 W COAST HWY
NEWPORT BEACH, CA 92663
Podiatrist (Foot & Ankle Surgery)
3300 W COAST HWY
NEWPORT BEACH, CA 92663

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164777090, enumerated as an "organization" on July 17, 2012.

The provider is located at 3300 W COAST HWY SUITE A NEWPORT BEACH, CA 92663 and the phone number is (949) 209-0220.

Physical Medicine & Rehabilitation with taxonomy code 2081S0010X and a focus in Sports Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.