PRAIRIE MEDICAL GROUP
NPI 1194846410
Specialist in Marina Del Rey, CA
NPI Status: Active since April 03, 2007
Contact Information
4644 LINCOLN BLVD
SUITE 428
MARINA DEL REY, CA
ZIP 90292
Phone: (310) 214-8677
Fax: (310) 921-1718
- Organization
- Specialist
About PRAIRIE MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Prairie Medical Group, a provider established in Marina Del Rey, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1194846410 assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number 058963 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. Prairie Medical Group 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 Christopher C Chidi Md (President)
- NPI
- 1194846410
- Provider Name
- PRAIRIE MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 4644 LINCOLN BLVD SUITE 428 MARINA DEL REY, CA 90292
- Location Phone
- (310) 214-8677
- Location Fax
- (310) 921-1718
- Mailing Address
- DEPT 2834 LOS ANGELES, CA 90084
- Mailing Phone
- (310) 306-1888
- Mailing Fax
- (310) 921-1718
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-03-2007
- Last Update Date
- 08-22-2020
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 058963
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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.
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.
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 |
|---|---|---|---|
| GR0078675 | MEDICAID (05) | 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 1194846410, 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.
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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194846410, enumerated as an "organization" on April 03, 2007.
The provider is located at 4644 LINCOLN BLVD SUITE 428 MARINA DEL REY, CA 90292 and the phone number is (310) 214-8677.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
