CLINICA MEDICA SAN MIGUEL
NPI 1609095587
Internal Medicine in San Fernando, CA

NPI Status: Active since April 25, 2007

Contact Information

1500 GLENOAKS BLVD
SAN FERNANDO, CA
ZIP 91340
Phone: (818) 898-7171
Fax: (818) 898-7172

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  • Organization
  • Internal Medicine

About CLINICA MEDICA SAN MIGUEL

This page provides the complete NPI Profile along with additional information for Clinica Medica San Miguel, an internist established in San Fernando, California operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1609095587 assigned on April 2007. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Clinica Medica San Miguel operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Clinica Medica San Miguel. The authorized official of this NPI record is Dr. Mahfouz M. Michael M.d. (Medical Director)

NPI
1609095587
Provider Legal Name
MAHFOUZ M. MICHAEL,M.D.,INC.
Other Organization Name
CLINICA MEDICA SAN MIGUEL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1500 GLENOAKS BLVD SAN FERNANDO, CA 91340
Location Phone
(818) 898-7171
Location Fax
(818) 898-7172
Mailing Address
PO BOX 291040 LOS ANGELES, CA 90029
Mailing Phone
(818) 994-0804
Mailing Fax
(818) 898-7172
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2007
Last Update Date
01-31-2008
Code Navigator

An internist like Clinica Medica San Miguel is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207RR0500XAllopathic & Osteopathic Physicians

Internal Medicine
Rheumatology

 
3207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
4208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
5208D00000XAllopathic & Osteopathic Physicians

General Practice

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. MAHFOUZ M. MICHAEL M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(818) 266-6432

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
W7196FMEDICARE PIN (08)CA 
GR0016859MEDICAID (05)CA 

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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.
1609095587
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26090910516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 0 + 9 + 1 + 0 + 5 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1609095587 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609095587, enumerated as an "organization" on April 25, 2007.

The provider is located at 1500 GLENOAKS BLVD SAN FERNANDO, CA 91340 and the phone number is (818) 898-7171.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.