MED-LINK
NPI 1790068971
Psychiatric Residential Treatment Facility in San Clemente, CA

NPI Status: Active since September 23, 2011

Contact Information

307 E AVENIDA CORDOBA
SAN CLEMENTE, CA
ZIP 92672
Phone: (949) 359-8273
Fax: (949) 943-1541

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About MED-LINK

Med-link is a provider established in San Clemente, California operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1790068971 assigned on September 2011. The practitioner's primary taxonomy code is 323P00000X with license number 30600418 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Med-link. The authorized official of this NPI record is Michael Roham (Business Operations Specialist)

NPI
1790068971
Provider Legal Name
MEDICAL CONCIERGE
Other Organization Name
MED-LINK
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
307 E AVENIDA CORDOBA SAN CLEMENTE, CA 92672
Location Phone
(949) 359-8273
Location Fax
(949) 943-1541
Mailing Address
647 CAMINO DE LOS MARES STE 230 SAN CLEMENTE, CA 92673
Mailing Phone
(949) 230-5343
Mailing Fax
(949) 943-1541
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
09-23-2011
Last Update Date
05-22-2020
Code Navigator

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

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
License No.
30600418
License State
CA
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

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

MICHAEL ROHAM

Authorized Official Title
BUSINESS OPERATIONS SPECIALIST
Authorized Official Phone
(949) 230-5343

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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.
1790068971
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271800616914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 0 + 6 + 1 + 6 + 9 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1790068971 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427385160PSYCHHEUROLOGY ASSOCIATES
Organization
Counselor (Addiction (Substance Use Disorder))307 E AVENIDA CORDOBA
SAN CLEMENTE, CA 92672
(714) 904-3750

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790068971, enumerated in the NPI registry as an "organization" on September 23, 2011

The provider is located at 307 E Avenida Cordoba San Clemente, Ca 92672 and the phone number is (949) 359-8273

This medical organization specializes in Psychiatric Residential Treatment Facility with taxonomy code 323P00000X

This NPI record was last updated on September 23, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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