PRIMARY CARE SPORTS MD GROUP INC
NPI 1750871752
Physical Medicine & Rehabilitation - Sports Medicine in La Quinta, CA

NPI Status: Active since May 15, 2018

Contact Information

47647 CALEO BAY DR STE 140
LA QUINTA, CA
ZIP 92253
Phone: (760) 360-1000
Fax: (760) 610-6171

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  • Organization
  • Physical Medicine & Rehabilitation
  • Sports Medicine

About PRIMARY CARE SPORTS MD GROUP INC

This page provides the complete NPI Profile along with additional information for Primary Care Sports Md Group Inc, a provider established in La Quinta, California operating as a Physical Medicine & Rehabilitation, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1750871752 assigned on May 2018. The practitioner's primary taxonomy code is 2081S0010X with license number A121278 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Efren F Wu Md (President)

NPI
1750871752
Provider Name
PRIMARY CARE SPORTS MD GROUP INC
Entity Type
Organization
Location Address
47647 CALEO BAY DR STE 140 LA QUINTA, CA 92253
Location Phone
(760) 360-1000
Location Fax
(760) 610-6171
Mailing Address
47647 CALEO BAY DR STE 140 LA QUINTA, CA 92253
Mailing Phone
(760) 360-1000
Mailing Fax
(760) 610-6171
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2018
Last Update Date
03-04-2020
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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

Physical Medicine & Rehabilitation Sports Medicine

Taxonomy Code
2081S0010X
Type
Allopathic & Osteopathic Physicians
License No.
A121278
License State
CA
Taxonomy Description
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

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.

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

EFREN F WU MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(760) 360-1000

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750871752
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001672710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 6 + 7 + 2 + 7 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1750871752 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750871752, enumerated as an "organization" on May 15, 2018.

The provider is located at 47647 CALEO BAY DR STE 140 LA QUINTA, CA 92253 and the phone number is (760) 360-1000.

Physical Medicine & Rehabilitation with taxonomy code 2081S0010X and a focus in Sports Medicine.