SAN DIEGO PROFESSIONAL GROUP, P. C.
NPI 1699220004
Psychiatry & Neurology - Addiction Medicine in Aliso Viejo, CA

NPI Status: Active since August 16, 2016

Contact Information

24552 PACIFIC PARK DR
ALISO VIEJO, CA
ZIP 92656
Phone: (615) 727-8416
Fax: (615) 457-8094

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  • Organization
  • Psychiatry & Neurology
  • Addiction Medicine

About SAN DIEGO PROFESSIONAL GROUP, P. C.

This page provides the complete NPI Profile along with additional information for San Diego Professional Group, P. C., a provider established in Aliso Viejo, California operating as a Psychiatry & Neurology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1699220004 assigned on August 2016. The practitioner's primary taxonomy code is 2084A0401X with license number 20A6119 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. San Diego Professional Group, P. C. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mark Calarco Do (Facility Ceo)

NPI
1699220004
Provider Name
SAN DIEGO PROFESSIONAL GROUP, P. C.
Entity Type
Organization
Location Address
24552 PACIFIC PARK DR ALISO VIEJO, CA 92656
Location Phone
(615) 727-8416
Location Fax
(615) 457-8094
Mailing Address
200 POWELL PL ATTN: LEGAL DEPARTMENT BRENTWOOD, TN 37027
Mailing Phone
(615) 732-1605
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-16-2016
Last Update Date
08-25-2021
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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

Psychiatry & Neurology Addiction Medicine

Taxonomy Code
2084A0401X
Type
Allopathic & Osteopathic Physicians
License No.
20A6119
License State
CA
Taxonomy Description
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

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)
1103TA0400XBehavioral Health & Social Service Providers

Psychologist
Addiction (Substance Use Disorder)

20A6119 (CA)
2207RA0401XAllopathic & Osteopathic Physicians

Internal Medicine
Addiction Medicine

20A6119 (CA)

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.

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

MARK CALARCO DO

Authorized Official Title
FACILITY CEO
Authorized Official Phone
(615) 712-5862

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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 1699220004, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
4
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 9 → 18 → 9 2 → 4 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 8 + 9 + 4 + 2 + 0 + 0 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1699220004.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Assisted Living Facility
24552 PACIFIC PARK DR, ELDERLY ASSISTED LIVING/MEMORY CARE-DIMENTIA
ALISO VIEJO, CA 92656
Registered Nurse (Psychiatric/Mental Health)
24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Internal Medicine (Addiction Medicine)
24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Marriage & Family Therapist
24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Physician Assistant
24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Nurse Practitioner (Psychiatric/Mental Health)
24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Preventive Medicine (Addiction Medicine)
24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Special Hospital
24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Nurse Practitioner
24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656
Nurse Practitioner
24552 PACIFIC PARK DR
ALISO VIEJO, CA 92656

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699220004, enumerated as an "organization" on August 16, 2016.

The provider is located at 24552 PACIFIC PARK DR ALISO VIEJO, CA 92656 and the phone number is (615) 727-8416.

Psychiatry & Neurology with taxonomy code 2084A0401X and a focus in Addiction Medicine.