PROVIDENCE PODIATRY CARE, INC
NPI 1376202986
Podiatrist - Foot & Ankle Surgery in San Bernardino, CA

NPI Status: Active since December 10, 2021

Contact Information

473 E CARNEGIE DRIVE
SUITE 200
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 244-7430
Fax: (909) 495-1380

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About PROVIDENCE PODIATRY CARE, INC

This page provides the complete NPI Profile along with additional information for Providence Podiatry Care, Inc, a provider established in San Bernardino, California operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1376202986 assigned on December 2021. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Eddie Avila (Secretary/treasuer)

NPI
1376202986
Provider Name
PROVIDENCE PODIATRY CARE, INC
Entity Type
Organization
Location Address
473 E CARNEGIE DRIVE SUITE 200 SAN BERNARDINO, CA 92408
Location Phone
(909) 244-7430
Location Fax
(909) 495-1380
Mailing Address
473 E CARNEGIE DRIVE SUITE 200 SAN BERNARDINO, CA 92408
Mailing Phone
(909) 244-7430
Mailing Fax
(909) 495-1380
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-10-2021
Last Update Date
06-21-2023
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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

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

EDDIE AVILA

Authorized Official Title
SECRETARY/TREASUER
Authorized Official Phone
(909) 244-7430

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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 1376202986, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
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 7 → 14 → 5 2 → 4 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 4 + 6 + 4 + 0 + 4 + 9 + 1 + 6 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1376202986.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Behavior Analyst
473 E CARNEGIE DRIVE, STE 200
SAN BERNARDINO, CA 92408
Behavior Analyst
473 E CARNEGIE DRIVE, STE 200
SAN BERNARDINO, CA 92408
Marriage & Family Therapist
473 E CARNEGIE DRIVE, STE 200
SAN BERNARDINO, CA 92408
Behavior Technician
473 E CARNEGIE DRIVE, STE 200
SAN BERNARDINO, CA 92408
Behavior Technician
473 E CARNEGIE DRIVE, STE 200
SAN BERNARDINO, CA 92408
Behavior Analyst
473 E CARNEGIE DRIVE, STE 200
SAN BERNARDINO, CA 92408
Social Worker (Clinical)
473 E CARNEGIE DRIVE, SUITE 200
SAN BERNARDINO, CA 92408
Podiatrist
473 E CARNEGIE DRIVE, SUITE 200
SAN BERNARDINO, CA 92408
Behavior Technician
473 E CARNEGIE DRIVE
SAN BERNADINO, CA 92408
Psychiatry & Neurology (Psychiatry)
473 E CARNEGIE DRIVE, SUITE 200
SAN BERNARDINO, CA 92408
Behavior Technician
473 E CARNEGIE DRIVE, SUITE 200
SAN BERNARDINO, CA 92408
Marriage & Family Therapist
473 E CARNEGIE DRIVE, SUITE 200
SAN BERNARDINO, CA 92408
Behavior Technician
473 E CARNEGIE DRIVE
SAN BERNARDINO, CA 92408

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376202986, enumerated as an "organization" on December 10, 2021.

The provider is located at 473 E CARNEGIE DRIVE SUITE 200 SAN BERNARDINO, CA 92408 and the phone number is (909) 244-7430.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.