SAN MANUEL MEDICAL CLINIC,INC
NPI 1831456482
Specialist in Walnut Park, CA

NPI Status: Active since April 20, 2012

Contact Information

7400 PACIFIC BLVD STE A
WALNUT PARK, CA
ZIP 90255
Phone: (323) 585-8881

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  • Organization
  • Specialist

About SAN MANUEL MEDICAL CLINIC,INC

This page provides the complete NPI Profile along with additional information for San Manuel Medical Clinic,inc, a provider established in Walnut Park, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1831456482 assigned on April 2012. The practitioner's primary taxonomy code is 174400000X with license number A84082 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. San Manuel Medical Clinic,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 Elia Webb (Office Manager)

NPI
1831456482
Provider Name
SAN MANUEL MEDICAL CLINIC,INC
Entity Type
Organization
Location Address
7400 PACIFIC BLVD STE A WALNUT PARK, CA 90255
Location Phone
(323) 585-8881
Mailing Address
7400 PACIFIC BLVD STE A WALNUT PARK, CA 90255
Mailing Phone
(323) 585-8881
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-20-2012
Last Update Date
04-20-2012
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
A84082
License State
CA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

ELIA WEBB

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(323) 585-8881

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A84082MEDICARE UPIN (02)CA 
GR0100930MEDICAID (05)CA 

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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 1831456482, 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 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
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
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 3 → 6 4 → 8 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 6 + 1 + 8 + 5 + 1 + 2 + 4 + 1 + 6 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1831456482.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Behavior Analyst
7400 PACIFIC BLVD STE A
WALNUT PARK, CA 90255

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831456482, enumerated as an "organization" on April 20, 2012.

The provider is located at 7400 PACIFIC BLVD STE A WALNUT PARK, CA 90255 and the phone number is (323) 585-8881.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.