MR. DONALD RAY JACK M.D.
NPI 1497079875
Emergency Medical Technician, Basic in Hollywood, CA

NPI Status: Active since March 15, 2010

Contact Information

1644 WILCOX AVE
HOLLYWOOD, CA
ZIP 90028
Phone: (424) 202-0322

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  • Individual
  • Male
  • Emergency Medical Technician, Basic

About DONALD JACK

This page provides the complete NPI Profile along with additional information for Donald Jack, a provider established in Hollywood, California with a medical specialization in Emergency Medical Technician, Basic. The healthcare provider is registered in the NPI registry with number 1497079875 assigned on March 2010. The practitioner's primary taxonomy code is 146N00000X with license number 12521464546464 (KY). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1497079875
Provider Name
MR. DONALD RAY JACK M.D.
Gender
Male
Entity Type
Individual
Location Address
1644 WILCOX AVE HOLLYWOOD, CA 90028
Location Phone
(424) 202-0322
Mailing Address
180 E. PROVIDENCIA AVE. BURBANK, CA 91205
Mailing Phone
(424) 202-0322
Is Sole Proprietor?
Yes
Enumeration Date
03-15-2010
Last Update Date
03-15-2010
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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

Emergency Medical Technician, Basic

Taxonomy Code
146N00000X
Type
Emergency Medical Service Providers
License No.
12521464546464
License State
KY
Taxonomy Description
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

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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 1497079875, we treat the final digit (5) 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

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

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 8 + 7 + 0 + 7 + 1 + 8 + 8 + 1 + 4 + 24 = 75

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

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1497079875.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497079875, enumerated as an "individual" on March 15, 2010.

The provider is located at 1644 WILCOX AVE HOLLYWOOD, CA 90028 and the phone number is (424) 202-0322.

Emergency Medical Technician, Basic with taxonomy code 146N00000X.