YASSA PAC LLC
NPI 1962016360
Clinic/Center in Hazel Park, MI

NPI Status: Active since September 02, 2020

Contact Information

624 E 9 MILE RD
HAZEL PARK, MI
ZIP 48030
Phone: (248) 629-7497

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  • Organization
  • Clinic/Center

About YASSA PAC LLC

This page provides the complete NPI Profile along with additional information for Yassa Pac Llc, a provider established in Hazel Park, Michigan operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1962016360 assigned on September 2020. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Marcos Yassa (Pa-c)

NPI
1962016360
Provider Name
YASSA PAC LLC
Entity Type
Organization
Location Address
624 E 9 MILE RD HAZEL PARK, MI 48030
Location Phone
(248) 629-7497
Mailing Address
PO BOX 366 HAZEL PARK, MI 48030
Mailing Phone
(248) 629-7497
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-02-2020
Last Update Date
12-16-2020
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

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

MARCOS YASSA

Authorized Official Title
PA-C
Authorized Official Phone
(248) 629-7497

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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 1962016360, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
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 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 0 + 1 + 1 + 2 + 3 + 1 + 2 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1962016360.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Internal Medicine
624 E 9 MILE RD
HAZEL PARK, MI 48030
Family Medicine
624 E 9 MILE RD
HAZEL PARK, MI 48030
Family Medicine
624 E 9 MILE RD
HAZEL PARK, MI 48030
Clinical Ethicist
624 E 9 MILE RD
HAZEL PARK, MI 48030
Pharmacy (Community/Retail Pharmacy)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Clinic/Center (Urgent Care)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Clinic/Center (Physical Therapy)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Physician Assistant
624 E 9 MILE RD
HAZEL PARK, MI 48030
Clinical Medical Laboratory
624 E 9 MILE RD
HAZEL PARK, MI 48030
Nurse Practitioner (Family)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Nurse Practitioner (Primary Care)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Physician Assistant
624 E 9 MILE RD
HAZEL PARK, MI 48030
Nurse Practitioner (Family)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Clinic/Center (Urgent Care)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Family Medicine
624 E 9 MILE RD
HAZEL PARK, MI 48030
Nurse Practitioner (Family)
624 E 9 MILE RD
HAZEL PARK, MI 48030
Physician Assistant
624 E 9 MILE RD
HAZEL PARK, MI 48030
Psychiatry & Neurology (Psychiatry)
624 E 9 MILE RD
HAZEL PARK, MI 48030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962016360, enumerated as an "organization" on September 02, 2020.

The provider is located at 624 E 9 MILE RD HAZEL PARK, MI 48030 and the phone number is (248) 629-7497.

Clinic/Center with taxonomy code 261Q00000X.