DUNNUM OCCUPATIONAL CARE MEDICAL GROUP
NPI 1457773699
Preventive Medicine - Occupational Medicine in San Diego, CA

NPI Status: Active since January 07, 2014

Contact Information

4510 EXECUTIVE DR
SUITE 107
SAN DIEGO, CA
ZIP 92121
Phone: (858) 457-4717
Fax: (858) 457-0470

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  • Organization
  • Preventive Medicine
  • Occupational Medicine
  • Accepts Insurance
  • CLIA Number: 05D0942984
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-18-2028

About DUNNUM OCCUPATIONAL CARE MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Dunnum Occupational Care Medical Group, a provider established in San Diego, California operating as a Preventive Medicine, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1457773699 assigned on January 2014. The practitioner's primary taxonomy code is 2083X0100X with license number G54999 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. Dunnum Occupational Care Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Dunnum Occupational Care Medical Group. The authorized official of this NPI record is Dr. Russell P. Dunnum M.d. (President)

NPI
1457773699
Provider Legal Name
R.P. DUNNUM, M.D. INC.
Other Organization Name
DUNNUM OCCUPATIONAL CARE MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4510 EXECUTIVE DR SUITE 107 SAN DIEGO, CA 92121
Location Phone
(858) 457-4717
Location Fax
(858) 457-0470
Mailing Address
4510 EXECUTIVE DR SUITE 107 SAN DIEGO, CA 92121
Mailing Phone
(858) 457-4717
Mailing Fax
(858) 457-0470
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-07-2014
Last Update Date
08-06-2014
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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

Preventive Medicine Occupational Medicine

Taxonomy Code
2083X0100X
Type
Allopathic & Osteopathic Physicians
License No.
G54999
License State
CA
Taxonomy Description
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

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:

  • BSW Diabetes Care Gold HMO 014 - HMO
  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Savers Bronze HMO H S A 009 - HMO
  • Blue Focus Bronze POS? 205 - POS
  • Blue Focus Bronze POS? 705 - POS
  • Blue Focus Bronze POS? Standard - POS
  • Blue Focus Gold POS? 207 - POS
  • Blue Focus Gold POS? 902 - POS
  • Blue Focus Gold POS? Standard - POS
  • Blue Focus Silver POS? 206 - POS
  • Blue Focus Silver POS? 903 - POS
  • Blue Focus Silver POS? Standard - POS
  • Blue Preferred Bronze PPO? 201 - PPO
  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Gold $10 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Silver $20 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
  • BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible - PPO
  • BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan) - PPO
  • BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
  • BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO

*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

DR. RUSSELL P. DUNNUM M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(858) 457-4717

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0942984
Facility Type
Physician Office
Certificate Effective Date
March 19, 2026
Certificate Expiration Date
March 18, 2028
Laboratory Director
RUSSELL P. DUNNUM MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dunnum Occupational Care Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1457773699, 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
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 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 5 → 10 → 1 7 → 14 → 5 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 0 + 7 + 1 + 4 + 7 + 6 + 6 + 1 + 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 1457773699.

Other Providers at the Same Location


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

Neurological Surgery
4510 EXECUTIVE DR, SUITE 125
SAN DIEGO, CA 92121
Pathology (Clinical Pathology/Laboratory Medicine)
4510 EXECUTIVE DR, SUITE 2257
SAN DIEGO, CA 92121
Chiropractor (Sports Physician)
4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121
Dentist (General Practice)
4510 EXECUTIVE DR, SUITE 201
SAN DIEGO, CA 92121
Registered Nurse
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
Chiropractor
4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121
Registered Nurse
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
Community/Behavioral Health
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
Chiropractor
4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121
Dentist (Endodontics)
4510 EXECUTIVE DR, SUITE 205
SAN DIEGO, CA 92121
Surgery (Plastic and Reconstructive Surgery)
4510 EXECUTIVE DR, SUITE 105
SAN DIEGO, CA 92121
Dentist (Endodontics)
4510 EXECUTIVE DR, SUITE 205
SAN DIEGO, CA 92121
Dentist (Orthodontics and Dentofacial Orthopedics)
4510 EXECUTIVE DR, PLAZA SUITE 3
SAN DIEGO, CA 92121
Chiropractor (Sports Physician)
4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121
Non-Pharmacy Dispensing Site
4510 EXECUTIVE DR, SUITE 105
SAN DIEGO, CA 92121
Community/Behavioral Health
4510 EXECUTIVE DR, #315
SAN DIEGO, CA 92121
Psychologist (Clinical)
4510 EXECUTIVE DR, SUITE 315
SAN DIEGO, CA 92121
Psychiatry & Neurology (Psychiatry)
4510 EXECUTIVE DR, SUITE 315
SAN DIEGO, CA 92121
Plastic Surgery
4510 EXECUTIVE DR, SUITE 105
SAN DIEGO, CA 92121
Nurse Practitioner (Adult Health)
4510 EXECUTIVE DR, SUITE 125
SAN DIEGO, CA 92121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457773699, enumerated as an "organization" on January 07, 2014.

The provider is located at 4510 EXECUTIVE DR SUITE 107 SAN DIEGO, CA 92121 and the phone number is (858) 457-4717.

Preventive Medicine with taxonomy code 2083X0100X and a focus in Occupational Medicine.

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. Please consult your insurance carrier or call the provider to verify.