CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
NPI 1386935716
Non-Pharmacy Dispensing Site in Santa Ana, CA

NPI Status: Active since April 19, 2011

Contact Information

1206 E 17TH ST
STE 106
SANTA ANA, CA
ZIP 92701
Phone: (714) 210-8848

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  • Organization
  • Non-Pharmacy Dispensing Site

About CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION

This page provides the complete NPI Profile along with additional information for Champion Medical Group, A Medical Corporation, a provider established in Santa Ana, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1386935716 assigned on April 2011. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Herbert Marshak Md (Medical Director)

NPI
1386935716
Provider Name
CHAMPION MEDICAL GROUP, A MEDICAL CORPORATION
Entity Type
Organization
Location Address
1206 E 17TH ST STE 106 SANTA ANA, CA 92701
Location Phone
(714) 210-8848
Mailing Address
2980 N BEVERLY GLEN CIR STE 100 LOS ANGELES, CA 90077
Mailing Phone
(310) 474-9809
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-19-2011
Last Update Date
10-05-2015
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

HERBERT MARSHAK MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(714) 210-8848

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386935716
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231661831072
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 1 + 8 + 3 + 1 + 0 + 7 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1386935716 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

DIMITRI SIRAKOFF, DO, INC

Non-Pharmacy Dispensing Site

1206 E 17TH ST
SUITE 204
SANTA ANA, CA
ZIP 92701

(714) 835-3500

STUART L ZUBRICK MARRIAGE FAMILY AND CHILD COUNSELING, A PROF CORP

Non-Pharmacy Dispensing Site

1206 E 17TH ST
STE 106
SANTA ANA, CA
ZIP 92701

(714) 210-8848

MARCO ANTONIO ANGULO M.D.

Family Medicine

1206 E 17TH ST
STE 101
SANTA ANA, CA
ZIP 92701

(714) 352-2911

KAREN ANDREA FLORES ROJAS

Social Worker

1206 E 17TH ST
SANTA ANA, CA
ZIP 92701

(714) 352-2911

TAKAKO NISHIMOTO MPT

Physical Therapist

1206 E 17TH ST
SUITE 204
SANTA ANA, CA
ZIP 92701

(714) 835-3500

DIMITRI SIRAKOFF DO

Family Medicine

1206 E 17TH ST
STE 204
SANTA ANA, CA
ZIP 92701

(714) 835-3500

AMIR KAMALI DDS

Dentist

(General Practice)

1206 E 17TH ST
SANTA ANA, CA
ZIP 92701

(714) 352-2911

GLORIA MARIA ZAPATA MSW

Social Worker

(Clinical)

1206 E 17TH ST
SANTA ANA, CA
ZIP 92701

(714) 352-2911

MR. RICHARD ALEXANDER ROMERO PA-C

Physician Assistant

1206 E 17TH ST
SANTA ANA, CA
ZIP 92701

(714) 352-2911

MS. DEENA THUY LE PA-C

Physician Assistant

(Medical)

1206 E 17TH ST
SANTA ANA, CA
ZIP 92701

(714) 352-2911

ALBERTO CAMPOS

Social Worker

(Clinical)

1206 E 17TH ST
SANTA ANA, CA
ZIP 92701

(714) 352-2911

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386935716, enumerated as an "organization" on April 19, 2011.

The provider is located at 1206 E 17TH ST STE 106 SANTA ANA, CA 92701 and the phone number is (714) 210-8848.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.