KERRY B EVNIN MD INC A PROFESSIONAL MEDICAL CORPORATION NPI 1902855588
Family Medicine in Ceres, CA

Organization Family Medicine

About KERRY B EVNIN MD INC A PROFESSIONAL MEDICAL CORPORATION

Kerry B Evnin Md Inc A Professional Medical Corporation is a primary care provider established in Ceres, California specializing in Family Medicine. The NPI number of Kerry B Evnin Md Inc A Professional Medical Corporation is 1902855588 and was assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 655240 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. Kerry B Evnin Md Inc A Professional Medical Corporation operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kerry B Evnin Md (President)

NPI
1902855588
Provider NameKERRY B EVNIN MD INC A PROFESSIONAL MEDICAL CORPORATION
Provider Location Address3641 MITCHELL RD H CERES, CA 95307
Provider Mailing Address3641 MITCHELL RD H CERES, CA 95307
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-09-2006
Last Update Date06-29-2010

A primary care provider (PCP) like Kerry B Evnin Md Inc A Professional Medical Corporation 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 .



Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.655240
License StateCA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

KERRY B EVNIN MD INC A PROFESSIONAL MEDICAL CORPORATION
3641 MITCHELL RD
H
CERES, CA
ZIP 95307
Phone: (209) 531-0154
Fax: (209) 531-0176

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Mailing Address

KERRY B EVNIN MD INC A PROFESSIONAL MEDICAL CORPORATION
3641 MITCHELL RD
H
CERES, CA
ZIP 95307
Phone: (209) 531-0154
Fax: (209) 531-0176


Authorized Official

Authorized Official Name KERRY B EVNIN MD
Authorized Official TitlePRESIDENT
Authorized Official Phone(209) 531-0154

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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
A52907MEDICARE UPIN (02)

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.
1902855588
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
290216510516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 1 + 6 + 5 + 1 + 0 + 5 + 1 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1902855588 is valid because the calculated check digit 8 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
1356536973DR. KERRY BRUCE EVNIN MD
Individual
Family Medicine3641 MITCHELL RD STE H
CERES, CA 95307
(209) 531-0154

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Kerry B Evnin Md Inc A Professional Medical Corporation is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.