SAN DIEGO WOMEN'S CARE- BROADWAY
NPI 1508291246
Non-Pharmacy Dispensing Site in El Cajon, CA

NPI Status: Active since September 12, 2013

Contact Information

330 S MAGNOLIA AVE
SUITE 301
EL CAJON, CA
ZIP 92020
Phone: (800) 395-9431

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  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 05D1005006
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-10-2026

About SAN DIEGO WOMEN'S CARE- BROADWAY

This page provides the complete NPI Profile along with additional information for San Diego Women's Care- Broadway, a provider established in El Cajon, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1508291246 assigned on September 2013. The practitioner's primary taxonomy code is 332900000X with license number 42653 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as San Diego Women's Care- Broadway. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)

NPI
1508291246
Provider Legal Name
NILOUFER S DENNIS MD MEDICAL CORP
Other Organization Name
SAN DIEGO WOMEN'S CARE- BROADWAY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
330 S MAGNOLIA AVE SUITE 301 EL CAJON, CA 92020
Location Phone
(800) 395-9431
Mailing Address
5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-12-2013
Last Update Date
04-01-2015
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
42653
License State
CA
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

KENNY HEINE

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(858) 964-1506

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
05D1005006
Facility Type
Physician Office
Certificate Effective Date
October 11, 2024
Certificate Expiration Date
October 10, 2026
Laboratory Director
DR. JEFFREY P. ANTHONY
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to San Diego Women's Care- Broadway in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1508291246, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
6
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 0 → 0 2 → 4 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 4 + 9 + 2 + 2 + 8 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1508291246.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Marriage & Family Therapist
330 S MAGNOLIA AVE, SUITE 201
EL CAJON, CA 92020
Counselor (Mental Health)
330 S MAGNOLIA AVE, SUITE 302
EL CAJON, CA 92020
Counselor (Mental Health)
330 S MAGNOLIA AVE, SUITE 302
EL CAJON, CA 92020
Non-Pharmacy Dispensing Site
330 S MAGNOLIA AVE, 101
EL CAJON, CA 92020
Marriage & Family Therapist
330 S MAGNOLIA AVE, STE. 302
EL CAJON, CA 92020
Family Medicine
330 S MAGNOLIA AVE, SUITE 101
EL CAJON, CA 92020
Obstetrics & Gynecology
330 S MAGNOLIA AVE, SUITE 301
EL CAJON, CA 92020
Marriage & Family Therapist
330 S MAGNOLIA AVE, #302
EL CAJON, CA 92020
Family Medicine
330 S MAGNOLIA AVE, STE 101
EL CAJON, CA 92020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508291246, enumerated as an "organization" on September 12, 2013.

The provider is located at 330 S MAGNOLIA AVE SUITE 301 EL CAJON, CA 92020 and the phone number is (800) 395-9431.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.