SID CHRISTIAN KEOMANIVONG
NPI 1760960462
Nurse Practitioner - Primary Care in Central Point, OR

NPI Status: Active since August 03, 2018

Contact Information

2677 BEALL LN
CENTRAL POINT, OR
ZIP 97502
Phone: (702) 343-0466

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  • Individual
  • Male
  • Nurse Practitioner
  • Primary Care

About SID KEOMANIVONG

This page provides the complete NPI Profile along with additional information for Sid Keomanivong, a provider established in Central Point, Oregon with a medical specialization in Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1760960462 assigned on August 2018. The practitioner's primary taxonomy code is 363LP2300X with license number 201806379NP-PP (OR). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1760960462
Provider Name
SID CHRISTIAN KEOMANIVONG
Gender
Male
Entity Type
Individual
Location Address
2677 BEALL LN CENTRAL POINT, OR 97502
Location Phone
(702) 343-0466
Mailing Address
3344 WINTERHAVEN ST UNIT 101 LAS VEGAS, NV 89108
Mailing Phone
(702) 343-0466
Is Sole Proprietor?
No
Enumeration Date
08-03-2018
Last Update Date
10-08-2019
Code Navigator

A nurse practitioner (NP) like Sid Keomanivong is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

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

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
201806379NP-PP
License State
OR

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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 1760960462, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 1 + 8 + 6 + 0 + 4 + 1 + 2 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1760960462.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760960462, enumerated as an "individual" on August 03, 2018.

The provider is located at 2677 BEALL LN CENTRAL POINT, OR 97502 and the phone number is (702) 343-0466.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.