JACKIE CHAN DPM
NPI 1417026881
Podiatrist - Foot & Ankle Surgery in Pico Rivera, CA
NPI Status: Active since November 07, 2006
Contact Information
8337 TELEGRAPH RD
SUITE 206
PICO RIVERA, CA
ZIP 90660
Phone: (562) 806-1862
Fax: (562) 928-6542
- Individual
- Male
- Podiatrist
- Foot & Ankle Surgery
- PECOS Enrolled
About JACKIE CHAN
This page provides the complete NPI Profile along with additional information for Jackie Chan, a provider established in Pico Rivera, California with a medical specialization in Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1417026881 assigned on November 2006. The practitioner's primary taxonomy code is 213ES0103X with license number E2120 (CA). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1417026881
- Provider Name
- JACKIE CHAN DPM
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8337 TELEGRAPH RD SUITE 206 PICO RIVERA, CA 90660
- Location Phone
- (562) 806-1862
- Location Fax
- (562) 928-6542
- Mailing Address
- 8337 TELEGRAPH RD SUITE 206 PICO RIVERA, CA 90660
- Mailing Phone
- (562) 806-1862
- Mailing Fax
- (562) 928-6542
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-07-2006
- Last Update Date
- 09-14-2012
- Code Navigator
Location Map
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
- License No.
- E2120
- License State
- 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.
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 |
|---|---|---|---|
| E2120 | MEDICARE ID-TYPE UNSPECIFIED (04) | MEDICARE ID # | |
| E2120 | OTHER (01) | CA | CA MEDICAL LICENSE |
| 00021200 | MEDICAID (05) | CA | |
| 4802270001 | MEDICARE NSC (07) |
Medicare Participation & PECOS Enrollment Status
Jackie Chan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for JACKIE CHAN DPM
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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 1417026881, 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
PICO RIVERA, CA 90660
PICO RIVERA, CA 90660
PICO RIVERA, CA 90660
PICO RIVERA, CA 90660
PICO RIVERA, CA 90660
PICO RIVERA, CA 90660
PICO RIVERA, CA 90660
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417026881, enumerated as an "individual" on November 07, 2006.
The provider is located at 8337 TELEGRAPH RD SUITE 206 PICO RIVERA, CA 90660 and the phone number is (562) 806-1862.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
