MONTEREY OBGYN MEDICAL GROUP INC
NPI 1881861797
Specialist in Rancho Mirage, CA

NPI Status: Active since May 09, 2008

Contact Information

72780 COUNTRY CLUB DR STE A103
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 779-5511
Fax: (760) 773-3320

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  • Organization
  • Specialist
  • CLIA Number: 05D0887377
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-09-2028

About MONTEREY OBGYN MEDICAL GROUP INC

This page provides the complete NPI Profile along with additional information for Monterey Obgyn Medical Group Inc, a provider established in Rancho Mirage, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1881861797 assigned on May 2008. The practitioner's primary taxonomy code is 174400000X with license number A44682 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Enrique G Jacome Md (Owner/physician)

NPI
1881861797
Provider Name
MONTEREY OBGYN MEDICAL GROUP INC
Entity Type
Organization
Location Address
72780 COUNTRY CLUB DR STE A103 RANCHO MIRAGE, CA 92270
Location Phone
(760) 779-5511
Location Fax
(760) 773-3320
Mailing Address
72780 COUNTRY CLUB DR STE A103 RANCHO MIRAGE, CA 92270
Mailing Phone
(760) 779-5511
Mailing Fax
(760) 773-3320
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2008
Last Update Date
05-09-2008
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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.
A44682
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MR. ENRIQUE G JACOME MD

Authorized Official Title
OWNER/PHYSICIAN
Authorized Official Phone
(760) 779-5511

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0887377
Facility Type
Physician Office
Certificate Effective Date
June 10, 2026
Certificate Expiration Date
June 09, 2028
Laboratory Director
ENRIQUE G. JACOME
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Monterey Obgyn Medical Group Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1881861797, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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
8
Doubled → 16 → 1 + 6
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
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 8 → 16 → 7 8 → 16 → 7 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 6 + 1 + 1 + 6 + 6 + 2 + 7 + 1 + 8 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1881861797.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner (Obstetrics & Gynecology)
72780 COUNTRY CLUB DR STE A103
RANCHO MIRAGE, CA 92270
Obstetrics & Gynecology
72780 COUNTRY CLUB DR STE A103
RANCHO MIRAGE, CA 92270

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881861797, enumerated as an "organization" on May 09, 2008.

The provider is located at 72780 COUNTRY CLUB DR STE A103 RANCHO MIRAGE, CA 92270 and the phone number is (760) 779-5511.

Specialist with taxonomy code 174400000X.