SOEPRONO MEDICAL CORPORATION
NPI 1306194261
Dermatology - Dermatopathology in Redlands, CA

NPI Status: Active since August 27, 2012

Contact Information

255 TERRACINA BLVD
STE 206
REDLANDS, CA
ZIP 92373
Phone: (909) 792-8600
Fax: (909) 792-8660

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  • Organization
  • Dermatology
  • Dermatopathology

About SOEPRONO MEDICAL CORPORATION

This page provides the complete NPI Profile along with additional information for Soeprono Medical Corporation, a provider established in Redlands, California operating as a Dermatology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1306194261 assigned on August 2012. The practitioner's primary taxonomy code is 207ND0900X with license number G28216 (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. Fred F Soeprono M.d. (President)

NPI
1306194261
Provider Name
SOEPRONO MEDICAL CORPORATION
Entity Type
Organization
Location Address
255 TERRACINA BLVD STE 206 REDLANDS, CA 92373
Location Phone
(909) 792-8600
Location Fax
(909) 792-8660
Mailing Address
PO BOX 1180 LOMA LINDA, CA 92354
Mailing Phone
(909) 792-8600
Mailing Fax
(909) 792-8660
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2012
Last Update Date
09-06-2012
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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

Dermatology Dermatopathology

Taxonomy Code
207ND0900X
Type
Allopathic & Osteopathic Physicians
License No.
G28216
License State
CA
Taxonomy Description
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

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)
1291U00000XLaboratories

Clinical Medical Laboratory

005D0573825 (CA)

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. FRED F SOEPRONO M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(951) 203-5000

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
A43652MEDICARE UPIN (02) 

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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 1306194261, 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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
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 0 → 0 1 → 2 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 2 + 9 + 8 + 2 + 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 1306194261.

Other Providers at the Same Location


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

Otolaryngology
255 TERRACINA BLVD, SUITE 201
REDLANDS, CA 92373
Obstetrics & Gynecology
255 TERRACINA BLVD, SUITE 202
REDLANDS, CA 92373
Specialist
255 TERRACINA BLVD, SUITE 201
REDLANDS, CA 92373
Obstetrics & Gynecology
255 TERRACINA BLVD, SUITE 202
REDLANDS, CA 92373
Internal Medicine
255 TERRACINA BLVD, STE# 101A & B
REDLANDS, CA 92373
Psychiatry & Neurology (Psychiatry)
255 TERRACINA BLVD, SUITE 204
REDLANDS, CA 92373
Dietitian, Registered
255 TERRACINA BLVD, SUITE 202
REDLANDS, CA 92373
Marriage & Family Therapist
255 TERRACINA BLVD, SUITE 204
REDLANDS, CA 92373
Physician Assistant (Medical)
255 TERRACINA BLVD, SUITE 101A
REDLANDS, CA 92373
Marriage & Family Therapist
255 TERRACINA BLVD, 204
REDLANDS, CA 92373
Social Worker (Clinical)
255 TERRACINA BLVD, SUITE 204
REDLANDS, CA 92373
Marriage & Family Therapist
255 TERRACINA BLVD, SUITE # 204
REDLANDS, CA 92373
Social Worker (Clinical)
255 TERRACINA BLVD, SUITE 204
REDLANDS, CA 92373
Psychiatry & Neurology (Psychiatry)
255 TERRACINA BLVD, SUITE 204
REDLANDS, CA 92373
Family Medicine
255 TERRACINA BLVD, STE. 105
REDLANDS, CA 92373
Family Medicine
255 TERRACINA BLVD, STE. 105
REDLANDS, CA 92373
Nurse Practitioner
255 TERRACINA BLVD, SUITE 205A
REDLANDS, CA 92373
Social Worker (Clinical)
255 TERRACINA BLVD, SUITE 204
REDLANDS, CA 92373
Psychiatry & Neurology (Psychiatry)
255 TERRACINA BLVD, SUITE 204
REDLANDS, CA 92373
Marriage & Family Therapist
255 TERRACINA BLVD, SUITE 204
REDLANDS, CA 92373

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306194261, enumerated as an "organization" on August 27, 2012.

The provider is located at 255 TERRACINA BLVD STE 206 REDLANDS, CA 92373 and the phone number is (909) 792-8600.

Dermatology with taxonomy code 207ND0900X and a focus in Dermatopathology.

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