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
- 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 10 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
- 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
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.)
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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 2 | 9 | 1 | 2 | 4 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 4 | 9 | 2 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 4 + 9 + 2 + 2 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1508291246 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
MS. LORRAINE DENISE WEINER
Marriage & Family Therapist
330 S MAGNOLIA AVE
SUITE 201
EL CAJON, CA
ZIP 92020
MS. RABIYA BOINEELO MCGEOFF M.A
Counselor
(Mental Health)
330 S MAGNOLIA AVE
SUITE 302
EL CAJON, CA
ZIP 92020
MR. BRIAN M WOODWARD B.A. PSY
Counselor
(Mental Health)
330 S MAGNOLIA AVE
SUITE 302
EL CAJON, CA
ZIP 92020
EAST COUNTY HEALTH CENTER INC
Non-Pharmacy Dispensing Site
330 S MAGNOLIA AVE
101
EL CAJON, CA
ZIP 92020
NAMRATA RINDANI IMF
Marriage & Family Therapist
330 S MAGNOLIA AVE
STE. 302
EL CAJON, CA
ZIP 92020
MUMTAZ THOMAS ALMANSOUR M.D.
Family Medicine
330 S MAGNOLIA AVE
SUITE 101
EL CAJON, CA
ZIP 92020
DR. NILOUFER SIDDIQUI DENNIS M.D.
Obstetrics & Gynecology
330 S MAGNOLIA AVE
SUITE 301
EL CAJON, CA
ZIP 92020
MIRIAM MATTHEW WEEDEN LMFT
Marriage & Family Therapist
330 S MAGNOLIA AVE
#302
EL CAJON, CA
ZIP 92020
WASIM MANSOUR D.O.
Family Medicine
330 S MAGNOLIA AVE
STE 101
EL CAJON, CA
ZIP 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.
