SAN DIEGO HOSPITAL BASED PHYSICIANS MEDICAL ASSOCIATION
NPI 1417907882
Emergency Medicine in San Diego, CA

NPI Status: Active since May 10, 2006

Contact Information

4077 FIFTH AVE
SAN DIEGO, CA
ZIP 92103
Phone: (619) 294-8111

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  • Organization
  • Emergency Medicine

About SAN DIEGO HOSPITAL BASED PHYSICIANS MEDICAL ASSOCIATION

This page provides the complete NPI Profile along with additional information for San Diego Hospital Based Physicians Medical Association, a provider established in San Diego, California operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1417907882 assigned on May 2006. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. San Diego Hospital Based Physicians Medical Association operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Michael Sullivan M.d. (President)

NPI
1417907882
Provider Name
SAN DIEGO HOSPITAL BASED PHYSICIANS MEDICAL ASSOCIATION
Entity Type
Organization
Location Address
4077 FIFTH AVE SAN DIEGO, CA 92103
Location Phone
(619) 294-8111
Mailing Address
PO BOX 87729 SAN DIEGO, CA 92138
Mailing Phone
(619) 285-5996
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2006
Last Update Date
08-22-2020
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MICHAEL SULLIVAN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(619) 294-8111

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
GR0076320MEDICAID (05)CA 

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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 1417907882, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
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 1 → 2 9 → 18 → 9 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 1 + 8 + 0 + 1 + 4 + 8 + 1 + 6 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1417907882.

Other Providers at the Same Location


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

Internal Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE, MER127
SAN DIEGO, CA 92103
Nurse Practitioner
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417907882, enumerated as an "organization" on May 10, 2006.

The provider is located at 4077 FIFTH AVE SAN DIEGO, CA 92103 and the phone number is (619) 294-8111.

Emergency Medicine with taxonomy code 207P00000X.

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