INTEGRATIVE WELLNESS MEDICAL GROUP NPI 1609211648
Family Medicine in Solana Beach, CA

Organization Family Medicine

About INTEGRATIVE WELLNESS MEDICAL GROUP

Integrative Wellness Medical Group is a primary care provider established in Solana Beach, California specializing in Family Medicine. The NPI number of Integrative Wellness Medical Group is 1609211648 and was assigned on May 2013. The practitioner's primary taxonomy code is 207Q00000X with license number 104552 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. Integrative Wellness Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kerrin Moote (Office Manager)

NPI
1609211648
Provider NameINTEGRATIVE WELLNESS MEDICAL GROUP
Provider Location Address125 N ACACIA AVE SUITE 111 SOLANA BEACH, CA 92075
Provider Mailing Address125 N ACACIA SUITE 111 SOLANA BEACH, CA 92075
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-03-2013
Last Update Date05-03-2013

A primary care provider (PCP) like Integrative Wellness Medical Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .



Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.104552
License StateCA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

INTEGRATIVE WELLNESS MEDICAL GROUP
125 N ACACIA AVE
SUITE 111
SOLANA BEACH, CA
ZIP 92075
Phone: (858) 444-0111
Fax: (858) 794-2722

Get Directions


Mailing Address

INTEGRATIVE WELLNESS MEDICAL GROUP
125 N ACACIA
SUITE 111
SOLANA BEACH, CA
ZIP 92075
Phone: (858) 444-0111
Fax: (858) 794-2722


Authorized Official

Authorized Official Name KERRIN MOOTE
Authorized Official TitleOFFICE MANAGER
Authorized Official Phone(858) 444-0111

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.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1111N00000XChiropractic ProvidersChiropractorCA30803CANo

Taxonomy Description: a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismA96446CANo

Taxonomy Description: an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

32084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryA104552CANo

Taxonomy Description: a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

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.
1609211648
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260941268
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 4 + 1 + 2 + 6 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1609211648 is valid because the calculated check digit 8 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.

NPI Name / Type Taxonomy Address
1477512382HEAR SAN DIEGO INC
Organization
Audiologist-Hearing Aid Fitter125 N ACACIA AVE STE 110
SOLANA BEACH, CA 92075
(619) 475-7338
1003023839DR. GLENN BARRY FRIEDER DC
Individual
Chiropractor125 N ACACIA AVE #111
SOLANA BEACH, CA 92075
(858) 794-0300
1235348384DR. MYK DUANE BRAY D.C.
Individual
Chiropractor125 N ACACIA AVE 103
SOLANA BEACH, CA 92075
(858) 794-0300
1760687701GLENN FRIEDER CHIROPRACTIC CORPORATION
Organization
Chiropractor125 N ACACIA AVE #111
SOLANA BEACH, CA 92075
(858) 794-0300
1003087628DR. STEVEN PHILLIP BENNETT D.C.
Individual
Chiropractor125 N ACACIA AVE STE. 103
SOLANA BEACH, CA 92075
(858) 794-2725
1699947283 J. BRIGHAM BOWLES AC
Individual
Acupuncturist125 N ACACIA AVE 111
SOLANA BEACH, CA 92075
(858) 794-0300
1629220603MRS. KRISTINA HALMAI GILLAN LMFT
Individual
Marriage & Family Therapist125 N ACACIA AVE SUITE 109
SOLANA BEACH, CA 92075
(760) 846-4366
1982936837 KATHERINE ELIZABETH CLARK MFT
Individual
Marriage & Family Therapist125 N ACACIA AVE SUITE 106
SOLANA BEACH, CA 92075
(858) 822-9046
1194060442 ISABEL DANSKY MFT
Individual
Marriage & Family Therapist125 N ACACIA AVE SUITE 107
SOLANA BEACH, CA 92075
(510) 798-8081

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Integrative Wellness Medical Group is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.