SAN CLEMENTE MEDI CENTER
NPI 1639268139
Emergency Medicine - Emergency Medical Services in San Clemente, CA
NPI Status: Active since October 12, 2006
Contact Information
910 S EL CAMINO REAL
SAN CLEMENTE, CA
ZIP 92672
Phone: (949) 492-4994
Fax: (949) 492-8517
- Organization
- Emergency Medicine
- Emergency Medical Services
- CLIA Number: 05D0579478
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-04-2026
About SAN CLEMENTE MEDI CENTER
This page provides the complete NPI Profile along with additional information for San Clemente Medi Center, a provider established in San Clemente, California operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1639268139 assigned on October 2006. The practitioner's primary taxonomy code is 207PE0004X. The provider is registered as an organization and their NPI record was last updated 16 years ago. 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 provider's is doing business as San Clemente Medi Center. The authorized official of this NPI record is Dr. Rajesh J Kadakia Md (Owner President)
- NPI
- 1639268139
- Provider Legal Name
- RAJESH J KADAKIA M D A MEDICAL CORPORATION
- Other Organization Name
- SAN CLEMENTE MEDI CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 910 S EL CAMINO REAL SAN CLEMENTE, CA 92672
- Location Phone
- (949) 492-4994
- Location Fax
- (949) 492-8517
- Mailing Address
- 910 S EL CAMINO REAL SAN CLEMENTE, CA 92672
- Mailing Phone
- (949) 492-4994
- Mailing Fax
- (949) 492-8517
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-12-2006
- Last Update Date
- 03-25-2010
- 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
Emergency Medicine Emergency Medical Services
- Taxonomy Code
- 207PE0004X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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) |
|---|---|---|---|---|
| 1 | 207QA0000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207QA0401X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193400000X MULTIPLE 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.
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.
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 |
|---|---|---|---|
| E50885 | MEDICARE UPIN (02) | ||
| W13445 | MEDICARE PIN (08) | CA |
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
- 05D0579478
- Facility Type
- Physician Office
- Certificate Effective Date
- July 05, 2024
- Certificate Expiration Date
- July 04, 2026
- Laboratory Director
- RAJESH KADAKIA MD FACEP
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to San Clemente Medi Center 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.
Reviews for SAN CLEMENTE MEDI CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1639268139, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
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 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
SAN CLEMENTE, CA 92672
SAN CLEMENTE, CA 92672
SAN CLEMENTE, CA 92672
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639268139, enumerated as an "organization" on October 12, 2006.
The provider is located at 910 S EL CAMINO REAL SAN CLEMENTE, CA 92672 and the phone number is (949) 492-4994.
Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
