THE BOTOX SPOT PHYSICIAN ASSISTANT CORPORATION
NPI 1710756390
Clinic/Center - Medical Specialty in Redlands, CA

NPI Status: Active since December 25, 2023

Contact Information

914 ORANGE ST STE E
REDLANDS, CA
ZIP 92374
Phone: (909) 752-6869

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  • Organization
  • Clinic/Center
  • Medical Specialty

About THE BOTOX SPOT PHYSICIAN ASSISTANT CORPORATION

This page provides the complete NPI Profile along with additional information for The Botox Spot Physician Assistant Corporation, a provider established in Redlands, California operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1710756390 assigned on December 2023. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Andrew Russ Pa-c (Owner)

NPI
1710756390
Provider Name
THE BOTOX SPOT PHYSICIAN ASSISTANT CORPORATION
Entity Type
Organization
Location Address
914 ORANGE ST STE E REDLANDS, CA 92374
Location Phone
(909) 752-6869
Mailing Address
1083 RAVEN CT CALIMESA, CA 92320
Mailing Phone
(909) 752-6869
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-25-2023
Last Update Date
12-25-2023
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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

ANDREW RUSS PA-C

Authorized Official Title
OWNER
Authorized Official Phone
(909) 752-6869

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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 1710756390, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
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 1 → 2 7 → 14 → 5 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 1 + 4 + 5 + 1 + 2 + 3 + 1 + 8 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1710756390.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710756390, enumerated as an "organization" on December 25, 2023.

The provider is located at 914 ORANGE ST STE E REDLANDS, CA 92374 and the phone number is (909) 752-6869.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.