SHIELD MEDICAL MANAGEMENT SERVICES LLC
NPI 1386907749
Clinic/Center in Garden Grove, CA

NPI Status: Active since June 20, 2012

Contact Information

13896 HARBOR BLVD
SUITE 5C
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 554-2222

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  • Organization
  • Clinic/Center

About SHIELD MEDICAL MANAGEMENT SERVICES LLC

This page provides the complete NPI Profile along with additional information for Shield Medical Management Services Llc, a provider established in Garden Grove, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1386907749 assigned on June 2012. The practitioner's primary taxonomy code is 261Q00000X. 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 Mortezas Sourat (Administrator)

NPI
1386907749
Provider Name
SHIELD MEDICAL MANAGEMENT SERVICES LLC
Entity Type
Organization
Location Address
13896 HARBOR BLVD SUITE 5C GARDEN GROVE, CA 92843
Location Phone
(714) 554-2222
Mailing Address
13896 HARBOR BLVD SUITE 5C GARDEN GROVE, CA 92843
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2012
Last Update Date
06-20-2012
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

MORTEZAS SOURAT

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(714) 554-2222

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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 1386907749, 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
3
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
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 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 6 + 6 + 1 + 8 + 0 + 1 + 4 + 7 + 8 + 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 1386907749.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
13896 HARBOR BLVD, SUITE 5-C
GARDEN GROVE, CA 92843
Clinical Medical Laboratory
13896 HARBOR BLVD, UNIT 5C
GARDEN GROVE, CA 92843
Physiological Laboratory
13896 HARBOR BLVD, SUITE 5C
GARDEN GROVE, CA 92843

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386907749, enumerated as an "organization" on June 20, 2012.

The provider is located at 13896 HARBOR BLVD SUITE 5C GARDEN GROVE, CA 92843 and the phone number is (714) 554-2222.

Clinic/Center with taxonomy code 261Q00000X.