360 SPORTS, SPINE AND WELLNESS, INC.
NPI 1487174991
Physical Medicine & Rehabilitation - Sports Medicine in Huntington Beach, CA
NPI Status: Active since June 26, 2017
Contact Information
18800 DELAWARE ST STE 150
HUNTINGTON BEACH, CA
ZIP 92648
Phone: (714) 848-9319
- Organization
- Physical Medicine & Rehabilitation
- Sports Medicine
- CLIA Number: 05D2153185
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-22-2026
About 360 SPORTS, SPINE AND WELLNESS, INC.
This page provides the complete NPI Profile along with additional information for 360 Sports, Spine And Wellness, Inc., a provider established in Huntington Beach, California operating as a Physical Medicine & Rehabilitation, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1487174991 assigned on June 2017. The practitioner's primary taxonomy code is 2081S0010X. The provider is registered as an organization and their NPI record was last updated 9 years ago. 360 Sports, Spine And Wellness, Inc. 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 Dr. Chris Marker Do (Physician)
- NPI
- 1487174991
- Provider Name
- 360 SPORTS, SPINE AND WELLNESS, INC.
- Entity Type
- Organization
- Location Address
- 18800 DELAWARE ST STE 150 HUNTINGTON BEACH, CA 92648
- Location Phone
- (714) 848-9319
- Mailing Address
- 18800 DELAWARE ST STE 150 HUNTINGTON BEACH, CA 92648
- Mailing Phone
- (714) 848-9319
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-26-2017
- Last Update Date
- 06-26-2017
- 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
Physical Medicine & Rehabilitation Sports Medicine
- Taxonomy Code
- 2081S0010X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
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.
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
- 05D2153185
- Facility Type
- Physician Office
- Certificate Effective Date
- August 23, 2024
- Certificate Expiration Date
- August 22, 2026
- Laboratory Director
- CHRISTOPHER MARKER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to 360 Sports, Spine And Wellness, Inc. 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 1487174991, 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 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 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 79 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
HUNTINGTON BEACH, CA 92648
HUNTINGTON BEACH, CA 92648
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487174991, enumerated as an "organization" on June 26, 2017.
The provider is located at 18800 DELAWARE ST STE 150 HUNTINGTON BEACH, CA 92648 and the phone number is (714) 848-9319.
Physical Medicine & Rehabilitation with taxonomy code 2081S0010X and a focus in Sports Medicine.
