WESTSIDE MEDICAL CLINIC/NW ORTHOPAEDIC SURGERY & SPORTS MEDICINE
NPI 1972627198
Clinic/Center in Hillsboro, OR
NPI Status: Active since March 16, 2007
Contact Information
21255 NW JACOBSON ROAD
SUITE 500
HILLSBORO, OR
ZIP 97124
Phone: (503) 439-8219
Fax: (503) 439-8838
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 38D2061879
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 07-01-2026
About WESTSIDE MEDICAL CLINIC/NW ORTHOPAEDIC SURGERY & SPORTS MEDICINE
This page provides the complete NPI Profile along with additional information for Westside Medical Clinic/nw Orthopaedic Surgery & Sports Medicine, a provider established in Hillsboro, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1972627198 assigned on March 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Westside Medical Clinic/nw Orthopaedic Surgery & Sports Medicine. The authorized official of this NPI record is Manuel Berman (President & Ceo)
- NPI
- 1972627198
- Provider Legal Name
- WESTSIDE MEDICAL CLINIC
- Other Organization Name
- WESTSIDE MEDICAL CLINIC/NW ORTHOPAEDIC SURGERY & SPORTS MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 21255 NW JACOBSON ROAD SUITE 500 HILLSBORO, OR 97124
- Location Phone
- (503) 439-8219
- Location Fax
- (503) 439-8838
- Mailing Address
- 372 SE 6TH AVE SUITE 300 HILLSBORO, OR 97123
- Mailing Phone
- (503) 681-5680
- Mailing Fax
- (503) 439-8838
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-16-2007
- Last Update Date
- 12-16-2015
- Code Navigator
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
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).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 226907 | MEDICAID (05) | OR | |
| 380021 | MEDICARE PIN (08) |
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
- 38D2061879
- Facility Type
- Hospital
- Certificate Effective Date
- July 02, 2024
- Certificate Expiration Date
- July 01, 2026
- Laboratory Director
- DR. MONA T. LABAR
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Westside Medical Clinic/nw Orthopaedic Surgery & Sports Medicine on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1972627198, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972627198, enumerated as an "organization" on March 16, 2007.
The provider is located at 21255 NW JACOBSON ROAD SUITE 500 HILLSBORO, OR 97124 and the phone number is (503) 439-8219.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
