RICHARD A PORTILLO O D A PROFESSIONAL OPTOMETRIC CORPORATION
NPI 1285963769
Point of Service in Modesto, CA

NPI Status: Active since December 13, 2009

Contact Information

1624 I ST
MODESTO, CA
ZIP 95354
Phone: (209) 578-4885

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  • Organization
  • Point of Service

About RICHARD A PORTILLO O D A PROFESSIONAL OPTOMETRIC CORPORATION

This page provides the complete NPI Profile along with additional information for Richard A Portillo O D A Professional Optometric Corporation, a provider established in Modesto, California operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1285963769 assigned on December 2009. The practitioner's primary taxonomy code is 305S00000X with license number 7865T (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 Dr. Richard Alan Portillo O.d. (President)

NPI
1285963769
Provider Name
RICHARD A PORTILLO O D A PROFESSIONAL OPTOMETRIC CORPORATION
Entity Type
Organization
Location Address
1624 I ST MODESTO, CA 95354
Location Phone
(209) 578-4885
Mailing Address
PO BOX 1743 MODESTO, CA 95353
Mailing Phone
(209) 578-4885
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-13-2009
Last Update Date
09-18-2012
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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

Point of Service

Taxonomy Code
305S00000X
Type
Managed Care Organizations
License No.
7865T
License State
CA
Taxonomy Description
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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

DR. RICHARD ALAN PORTILLO O.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(209) 578-4885

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
4188040001MEDICARE NSC (07)CA 
EV706AMEDICARE PIN (08)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 1285963769, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
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 8 → 16 → 7 9 → 18 → 9 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 6 + 5 + 1 + 8 + 6 + 6 + 7 + 1 + 2 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1285963769.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Optometrist
1624 I ST
MODESTO, CA 95354

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285963769, enumerated as an "organization" on December 13, 2009.

The provider is located at 1624 I ST MODESTO, CA 95354 and the phone number is (209) 578-4885.

Point of Service with taxonomy code 305S00000X.

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