IMPACT MEDICAL ASSOCIATES CALIFORNIA
NPI 1609501006
Family Medicine in San Diego, CA

NPI Status: Active since July 19, 2022

Contact Information

11838 BERNARDO PLAZA CT STE 260A
SAN DIEGO, CA
ZIP 92128
Phone: (858) 487-8778
Fax: (858) 487-2738

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  • Organization
  • Family Medicine

About IMPACT MEDICAL ASSOCIATES CALIFORNIA

This page provides the complete NPI Profile along with additional information for Impact Medical Associates California, a primary care provider established in San Diego, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1609501006 assigned on July 2022. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated April 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michael Connelly (Managing Partner)

NPI
1609501006
Provider Name
IMPACT MEDICAL ASSOCIATES CALIFORNIA
Entity Type
Organization
Location Address
11838 BERNARDO PLAZA CT STE 260A SAN DIEGO, CA 92128
Location Phone
(858) 487-8778
Location Fax
(858) 487-2738
Mailing Address
5355 AVENIDA ENCINAS STE 103 CARLSBAD, CA 92008
Mailing Phone
(584) 878-7788
Mailing Fax
(858) 487-2738
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2022
Last Update Date
04-13-2026
Code Navigator

A primary care provider (PCP) like Impact Medical Associates California 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 .

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MICHAEL CONNELLY

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(714) 905-9503

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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 1609501006, 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 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
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
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 5 → 10 → 1 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 0 + 9 + 1 + 0 + 0 + 2 + 0 + 0 + 24 = 44

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

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1609501006.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609501006, enumerated as an "organization" on July 19, 2022.

The provider is located at 11838 BERNARDO PLAZA CT STE 260A SAN DIEGO, CA 92128 and the phone number is (858) 487-8778.

Family Medicine with taxonomy code 207Q00000X.