BONITA MEDICAL SUPPLY, INC.
NPI 1205617214
Prosthetic/Orthotic Supplier in Bonita, CA

NPI Status: Active since October 06, 2023

Contact Information

4045 BONITA RD STE 310
BONITA, CA
ZIP 91902
Phone: (619) 539-4725

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About BONITA MEDICAL SUPPLY, INC.

This page provides the complete NPI Profile along with additional information for Bonita Medical Supply, Inc., a provider established in Bonita, California operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1205617214 assigned on October 2023. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mohamed Refaat Mohamed (Ceo)

NPI
1205617214
Provider Name
BONITA MEDICAL SUPPLY, INC.
Entity Type
Organization
Location Address
4045 BONITA RD STE 310 BONITA, CA 91902
Location Phone
(619) 539-4725
Mailing Address
4045 BONITA RD STE 310 BONITA, CA 91902
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2023
Last Update Date
08-08-2024
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Bonita Medical Supply, Inc. is a medicare supplier with PTAN 23281003 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf.

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

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

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

MOHAMED REFAAT MOHAMED

Authorized Official Title
CEO
Authorized Official Phone
(619) 539-4725

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
23281003
Accepts Medicare Assignment
YES
Specialities List
Medical Supply Company Other, MSC With Orthotic Personnel.
Competitive Bidding
NO

Supplies List

  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads

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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 1205617214, 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.

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 0 + 5 + 1 + 2 + 1 + 1 + 4 + 2 + 2 + 24 = 46

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.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1205617214.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205617214, enumerated as an "organization" on October 06, 2023.

The provider is located at 4045 BONITA RD STE 310 BONITA, CA 91902 and the phone number is (619) 539-4725.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.