SHADOWRIDGE MEDICAL GROUP
NPI 1639398613
Specialist in Vista, CA
NPI Status: Active since April 25, 2007
Contact Information
1680 S MELROSE DR STE 105
VISTA, CA
ZIP 92081
Phone: (760) 727-6920
Fax: (760) 727-3368
- Organization
- Specialist
About SHADOWRIDGE MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Shadowridge Medical Group, a provider established in Vista, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1639398613 assigned on April 2007. The practitioner's primary taxonomy code is 174400000X with license number G045531 (CA). The provider is registered as an organization and their NPI record was last updated 6 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 authorized official of this NPI record is Todd Wine M.d. (Physician)
- NPI
- 1639398613
- Provider Name
- SHADOWRIDGE MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 1680 S MELROSE DR STE 105 VISTA, CA 92081
- Location Phone
- (760) 727-6920
- Location Fax
- (760) 727-3368
- Mailing Address
- 1680 S MELROSE DR STE 105 VISTA, CA 92081
- Mailing Phone
- (760) 727-6920
- Mailing Fax
- (760) 727-3368
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-25-2007
- Last Update Date
- 08-22-2020
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- G045531
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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.
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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 1639398613, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).
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 77 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639398613, enumerated as an "organization" on April 25, 2007.
The provider is located at 1680 S MELROSE DR STE 105 VISTA, CA 92081 and the phone number is (760) 727-6920.
Specialist with taxonomy code 174400000X.
