KETCHUM HEALTH MEDICAL CLINIC
NPI 1174037493
Clinic/Center - Multi-Specialty in Anaheim, CA

NPI Status: Active since November 22, 2017

Contact Information

5460 E LA PALMA AVE
ANAHEIM, CA
ZIP 92807
Phone: (714) 463-7500

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About KETCHUM HEALTH MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Ketchum Health Medical Clinic, a provider established in Anaheim, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1174037493 assigned on November 2017. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Ketchum Health Medical Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Ketchum Health Medical Clinic. The authorized official of this NPI record is Dr. Brandon Grove Md (Director Of Medical Clinics)

NPI
1174037493
Provider Legal Name
MARSHALL B. KETCHUM UNIVERSITY
Other Organization Name
KETCHUM HEALTH MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5460 E LA PALMA AVE ANAHEIM, CA 92807
Location Phone
(714) 463-7500
Mailing Address
5460 E LA PALMA AVE ANAHEIM, CA 92807
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-22-2017
Last Update Date
01-18-2024
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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)
1183500000XPharmacy Service Providers

Pharmacist

 
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
3363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
4363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

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.

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. BRANDON GROVE MD

Authorized Official Title
DIRECTOR OF MEDICAL CLINICS
Authorized Official Phone
(714) 992-7818

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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 1174037493, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
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 7 → 14 → 5 0 → 0 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 + 4 + 4 + 0 + 3 + 1 + 4 + 4 + 1 + 8 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1174037493.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist (Pediatrics)
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist (Pediatrics)
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Student in an Organized Health Care Education/Training Program
5460 E LA PALMA AVE
ANAHEIM, CA 92807
Optometrist
5460 E LA PALMA AVE
ANAHEIM, CA 92807

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174037493, enumerated as an "organization" on November 22, 2017.

The provider is located at 5460 E LA PALMA AVE ANAHEIM, CA 92807 and the phone number is (714) 463-7500.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.