MAGNOLIA ACUTE TRAUMA, A MEDICAL CORPORATION
NPI 1578947404
Surgery - Trauma Surgery in Riverside, CA
NPI Status: Active since July 09, 2015
Contact Information
4445 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92501
Phone: (469) 401-2386
- Organization
- Surgery
- Trauma Surgery
- CLIA Number: 05D2121503
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-06-2026
About MAGNOLIA ACUTE TRAUMA, A MEDICAL CORPORATION
This page provides the complete NPI Profile along with additional information for Magnolia Acute Trauma, A Medical Corporation, a provider established in Riverside, California operating as a Surgery, focusing in trauma surgery . The healthcare provider is registered in the NPI registry with number 1578947404 assigned on July 2015. The practitioner's primary taxonomy code is 2086S0127X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Magnolia Acute Trauma, A Medical Corporation 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 Karen Vaughn (Officer)
- NPI
- 1578947404
- Provider Name
- MAGNOLIA ACUTE TRAUMA, A MEDICAL CORPORATION
- Entity Type
- Organization
- Location Address
- 4445 MAGNOLIA AVE RIVERSIDE, CA 92501
- Location Phone
- (469) 401-2386
- Mailing Address
- 5565 CENTERVIEW DR STE 107 RALEIGH, NC 27606
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-09-2015
- Last Update Date
- 03-30-2023
- 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
Surgery Trauma Surgery
- Taxonomy Code
- 2086S0127X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
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
- 05D2121503
- Facility Type
- Physician Office
- Certificate Effective Date
- November 07, 2024
- Certificate Expiration Date
- November 06, 2026
- Laboratory Director
- HESHAM EL MOKADEM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Magnolia Acute Trauma, A Medical Corporation 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 1578947404, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
RIVERSIDE, CA 92501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578947404, enumerated as an "organization" on July 09, 2015.
The provider is located at 4445 MAGNOLIA AVE RIVERSIDE, CA 92501 and the phone number is (469) 401-2386.
Surgery with taxonomy code 2086S0127X and a focus in Trauma Surgery.
