CORE PROSTHETICS LAB, INC.
NPI 1720253305
Prosthetic/Orthotic Supplier in Sun City, CA

NPI Status: Active since April 24, 2008

Contact Information

29723 NEW HUB DR STE A
SUN CITY, CA
ZIP 92586
Phone: (951) 246-8888
Fax: (951) 246-8675

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  • Organization
  • Prosthetic/Orthotic Supplier

About CORE PROSTHETICS LAB, INC.

This page provides the complete NPI Profile along with additional information for Core Prosthetics Lab, Inc., a provider established in Sun City, California operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1720253305 assigned on April 2008. The practitioner's primary taxonomy code is 335E00000X with license number P1115 (DE). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Tuty Irianto Cfm01267 (Manager)

NPI
1720253305
Provider Name
CORE PROSTHETICS LAB, INC.
Entity Type
Organization
Location Address
29723 NEW HUB DR STE A SUN CITY, CA 92586
Location Phone
(951) 246-8888
Location Fax
(951) 246-8675
Mailing Address
29723 NEW HUB DR STE A SUN CITY, CA 92586
Mailing Phone
(951) 246-8888
Mailing Fax
(951) 246-8675
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2008
Last Update Date
11-19-2009
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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

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
License No.
P1115
License State
DE
Taxonomy Description
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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)
1335E00000XSuppliers

Prosthetic/Orthotic Supplier

CFM01267 (DE)

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.

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

TUTY IRIANTO CFM01267

Authorized Official Title
MANAGER
Authorized Official Phone
(951) 246-8888

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
6117940001MEDICARE NSC (07)CA 

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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 1720253305, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
5
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 2 → 4 2 → 4 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 4 + 5 + 6 + 3 + 0 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1720253305.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720253305, enumerated as an "organization" on April 24, 2008.

The provider is located at 29723 NEW HUB DR STE A SUN CITY, CA 92586 and the phone number is (951) 246-8888.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.