METAMORPH, INC.
NPI 1902106982
Physician Assistant in San Jose, CA

NPI Status: Active since October 25, 2010

Contact Information

7725 KILMARNOK DR
SAN JOSE, CA
ZIP 95135
Phone: (408) 852-0703

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  • Organization
  • Physician Assistant

About METAMORPH, INC.

This page provides the complete NPI Profile along with additional information for Metamorph, Inc., a primary care provider established in San Jose, California operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1902106982 assigned on October 2010. The practitioner's primary taxonomy code is 363A00000X with license number 17859 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. Metamorph, 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 Phyllis N Borner (President)

NPI
1902106982
Provider Name
METAMORPH, INC.
Entity Type
Organization
Location Address
7725 KILMARNOK DR SAN JOSE, CA 95135
Location Phone
(408) 852-0703
Mailing Address
7725 KILMARNOK DR SAN JOSE, CA 95135
Mailing Phone
(408) 852-0703
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2010
Last Update Date
10-25-2010
Code Navigator

A primary care provider (PCP) like Metamorph, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
17859
License State
CA
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

17859 (CA)
2363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

17859 (CA)

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.

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

PHYLLIS N BORNER

Authorized Official Title
PRESIDENT
Authorized Official Phone
(408) 852-0703

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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 1902106982, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
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 0 → 0 1 → 2 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 + 9 + 0 + 2 + 2 + 0 + 1 + 2 + 9 + 1 + 6 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1902106982.

Other Providers at the Same Location


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

Physician Assistant
7725 KILMARNOK DR
SAN JOSE, CA 95135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902106982, enumerated as an "organization" on October 25, 2010.

The provider is located at 7725 KILMARNOK DR SAN JOSE, CA 95135 and the phone number is (408) 852-0703.

Physician Assistant with taxonomy code 363A00000X.