SUSAN SAMUELI CENTER
NPI 1770955593
Clinic/Center - Multi-Specialty in Costa Mesa, CA

NPI Status: Active since October 21, 2015

Contact Information

1202 BRISTOL ST
SUITE 200
COSTA MESA, CA
ZIP 92626
Phone: (714) 424-9001
Fax: (714) 424-9005

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About SUSAN SAMUELI CENTER

This page provides the complete NPI Profile along with additional information for Susan Samueli Center, a provider established in Costa Mesa, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1770955593 assigned on October 2015. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Manuel Porto M.d. (President And C.e.o.)

NPI
1770955593
Provider Name
SUSAN SAMUELI CENTER
Entity Type
Organization
Location Address
1202 BRISTOL ST SUITE 200 COSTA MESA, CA 92626
Location Phone
(714) 424-9001
Location Fax
(714) 424-9005
Mailing Address
PO BOX 513620 LOS ANGELES, CA 90051
Mailing Phone
(714) 456-6585
Mailing Fax
(714) 424-9005
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-21-2015
Last Update Date
10-21-2015
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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. MANUEL PORTO M.D.

Authorized Official Title
PRESIDENT AND C.E.O.
Authorized Official Phone
(714) 456-2986

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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 1770955593, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
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 7 → 14 → 5 9 → 18 → 9 5 → 10 → 1 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 + 1 + 4 + 0 + 1 + 8 + 5 + 1 + 0 + 5 + 1 + 8 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1770955593.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Marriage & Family Therapist
1202 BRISTOL ST, SUITE 130
COSTA MESA, CA 92626
Dentist
1202 BRISTOL ST, 140
COSTA MESA, CA 92626
Clinic/Center (Multi-Specialty)
1202 BRISTOL ST, SUITE 200
COSTA MESA, CA 92626
Clinic/Center (Multi-Specialty)
1202 BRISTOL ST, SUITE 200
COSTA MESA, CA 92626
Mechanotherapist
1202 BRISTOL ST, 2ND FLOOR
COSTA MESA, CA 92626
Naturopath
1202 BRISTOL ST
COSTA MESA, CA 92626
Naturopath
1202 BRISTOL ST, UC IRVINE - SUSAN SAMUELI CENTER FOR INTEGRATIVE MED.
COSTA MESA, CA 92626
Naturopath
1202 BRISTOL ST
COSTA MESA, CA 92626
Pediatrics (Developmental - Behavioral Pediatrics)
1202 BRISTOL ST
COSTA MESA, CA 92626
Psychologist
1202 BRISTOL ST
COSTA MESA, CA 92626

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770955593, enumerated as an "organization" on October 21, 2015.

The provider is located at 1202 BRISTOL ST SUITE 200 COSTA MESA, CA 92626 and the phone number is (714) 424-9001.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.