MR. JEREMY SCOTT VANDEHURST L-AT
NPI 1861027625
Emergency Medicine - Sports Medicine in South Lake Tahoe, CA

NPI Status: Active since March 11, 2020

Contact Information

2170 SOUTH AVE # B
SOUTH LAKE TAHOE, CA
ZIP 96150
Phone: (530) 208-8253

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  • Individual
  • Male
  • Emergency Medicine
  • Sports Medicine

About JEREMY VANDEHURST

This page provides the complete NPI Profile along with additional information for Jeremy Vandehurst, a provider established in South Lake Tahoe, California with a medical specialization in Emergency Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1861027625 assigned on March 2020. The practitioner's primary taxonomy code is 207PS0010X with license number 0506428 (NV). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1861027625
Provider Name
MR. JEREMY SCOTT VANDEHURST L-AT
Gender
Male
Entity Type
Individual
Location Address
2170 SOUTH AVE # B SOUTH LAKE TAHOE, CA 96150
Location Phone
(530) 208-8253
Mailing Address
2795 SPRINGWOOD DR SOUTH LAKE TAHOE, CA 96150
Mailing Phone
(530) 208-8253
Is Sole Proprietor?
Yes
Enumeration Date
03-11-2020
Last Update Date
03-11-2020
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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

Emergency Medicine Sports Medicine

Taxonomy Code
207PS0010X
Type
Allopathic & Osteopathic Physicians
License No.
0506428
License State
NV
Taxonomy Description
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

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)
1174H00000XOther Service Providers

Health Educator

0506428 (NV)
2207XX0005XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Sports Medicine

0506428 (NV)
3208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

0506428 (NV)
4226300000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Kinesiotherapist

0506428 (NV)
5405300000XOther Service Providers

Prevention Professional

0506428 (NV)

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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 1861027625, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
5
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 0 → 0 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 0 + 2 + 1 + 4 + 6 + 4 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1861027625.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861027625, enumerated as an "individual" on March 11, 2020.

The provider is located at 2170 SOUTH AVE # B SOUTH LAKE TAHOE, CA 96150 and the phone number is (530) 208-8253.

Emergency Medicine with taxonomy code 207PS0010X and a focus in Sports Medicine.