OPEN MRI OF LOMA LINDA
NPI 1295718161
Radiology - Diagnostic Neuroimaging in Loma Linda, CA

NPI Status: Active since November 23, 2005

Contact Information

11360 MOUNTAIN VIEW AVE
SUITE C
LOMA LINDA, CA
ZIP 92354
Phone: (909) 478-3300
Fax: (909) 478-3900

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  • Organization
  • Radiology
  • Diagnostic Neuroimaging

About OPEN MRI OF LOMA LINDA

This page provides the complete NPI Profile along with additional information for Open Mri Of Loma Linda, a provider established in Loma Linda, California operating as a Radiology, focusing in diagnostic neuroimaging . The healthcare provider is registered in the NPI registry with number 1295718161 assigned on November 2005. The practitioner's primary taxonomy code is 2085D0003X with license number A34125 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. Open Mri Of Loma Linda 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 Open Mri Of Loma Linda. The authorized official of this NPI record is Ms. Melonie Storer (Credentialing Administrator)

NPI
1295718161
Provider Legal Name
WILLIAM M. KELLY M.D., INC.
Other Organization Name
OPEN MRI OF LOMA LINDA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11360 MOUNTAIN VIEW AVE SUITE C LOMA LINDA, CA 92354
Location Phone
(909) 478-3300
Location Fax
(909) 478-3900
Mailing Address
44489 TOWN CENTER WAY STE. D PALM DESERT, CA 92260
Mailing Phone
(760) 776-9777
Mailing Fax
(909) 478-3900
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-23-2005
Last Update Date
01-12-2010
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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

Radiology Diagnostic Neuroimaging

Taxonomy Code
2085D0003X
Type
Allopathic & Osteopathic Physicians
License No.
A34125
License State
CA
Taxonomy Description
A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.

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)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

A34125 (CA)

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.

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

MS. MELONIE STORER

Authorized Official Title
CREDENTIALING ADMINISTRATOR
Authorized Official Phone
(951) 302-2223

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
A27387MEDICARE UPIN (02)CA 
ZZZ22857ZMEDICARE ID-TYPE UNSPECIFIED (04)CA 
A27387MEDICARE UPIN (02) 
00A341251MEDICAID (05)CA 
ZZZ22856ZMEDICARE PIN (08) 

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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 1295718161, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
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 9 → 18 → 9 7 → 14 → 5 8 → 16 → 7 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 + 8 + 5 + 1 + 4 + 1 + 1 + 6 + 1 + 1 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1295718161.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295718161, enumerated as an "organization" on November 23, 2005.

The provider is located at 11360 MOUNTAIN VIEW AVE SUITE C LOMA LINDA, CA 92354 and the phone number is (909) 478-3300.

Radiology with taxonomy code 2085D0003X and a focus in Diagnostic Neuroimaging.

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