PRIMARY MEDICAL GROUP OF VENTURA COUNTY INC
NPI 1740673011
Dietitian, Registered in Ventura, CA

NPI Status: Active since March 11, 2015

Contact Information

2772 JOHNSON DR
STE 200
VENTURA, CA
ZIP 93003
Phone: (805) 642-1430
Fax: (805) 642-1436

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  • Organization
  • Dietitian, Registered
  • CLIA Number: 05D2185953
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-10-2026

About PRIMARY MEDICAL GROUP OF VENTURA COUNTY INC

This page provides the complete NPI Profile along with additional information for Primary Medical Group Of Ventura County Inc, a provider established in Ventura, California operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1740673011 assigned on March 2015. The practitioner's primary taxonomy code is 133V00000X with license number 881077 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. Primary Medical Group Of Ventura County Inc 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 Dr. Edward Jacob Banman M.d. (President)

NPI
1740673011
Provider Name
PRIMARY MEDICAL GROUP OF VENTURA COUNTY INC
Entity Type
Organization
Location Address
2772 JOHNSON DR STE 200 VENTURA, CA 93003
Location Phone
(805) 642-1430
Location Fax
(805) 642-1436
Mailing Address
2772 JOHNSON DR STE 200 VENTURA, CA 93003
Mailing Phone
(805) 642-1430
Mailing Fax
(805) 642-1436
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-11-2015
Last Update Date
03-11-2015
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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

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
881077
License State
CA
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

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

DR. EDWARD JACOB BANMAN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(805) 642-1430

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
05D2185953
Facility Type
Physician Office
Certificate Effective Date
June 11, 2024
Certificate Expiration Date
June 10, 2026
Laboratory Director
ULDINE CASTEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Primary Medical Group Of Ventura County Inc 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.

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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 1740673011, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 8 + 0 + 1 + 2 + 7 + 6 + 0 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1740673011.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Family Medicine
2772 JOHNSON DR, SUITE 114
VENTURA, CA 93003
Dietitian, Registered
2772 JOHNSON DR, 200
VENTURA, CA 93003
Dentist (General Practice)
2772 JOHNSON DR, SUITE 101
VENTURA, CA 93003
Nurse Practitioner (Family)
2772 JOHNSON DR
VENTURA, CA 93003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740673011, enumerated as an "organization" on March 11, 2015.

The provider is located at 2772 JOHNSON DR STE 200 VENTURA, CA 93003 and the phone number is (805) 642-1430.

Dietitian, Registered with taxonomy code 133V00000X.