DAVID GRANT MEDICAL CENTER
NPI 1013079334
Military Hospital in Fairfield, CA

NPI Status: Active since December 14, 2006

Contact Information

2569 SHOREY WAY
FAIRFIELD, CA
ZIP 94533
Phone: (707) 816-8622

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  • Organization
  • Military Hospital

About DAVID GRANT MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for David Grant Medical Center, a provider established in Fairfield, California operating as a Military Hospital. The healthcare provider is registered in the NPI registry with number 1013079334 assigned on December 2006. The practitioner's primary taxonomy code is 286500000X with license number 4679 (PR). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is David Grant Medical Center. The authorized official of this NPI record is Marcos J Lopez (Clinical Pharmacist)

NPI
1013079334
Provider Legal Name
AIR FORCE
Other Organization Name
DAVID GRANT MEDICAL CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2569 SHOREY WAY FAIRFIELD, CA 94533
Location Phone
(707) 816-8622
Mailing Address
2569 SHOREY WAY FAIRFIELD, CA 94533
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2006
Last Update Date
08-22-2020
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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

Military Hospital

Taxonomy Code
286500000X
Type
Hospitals
License No.
4679
License State
PR
Taxonomy Description
A health care facility operated by the Department of Defense.

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 J LOPEZ

Authorized Official Title
CLINICAL PHARMACIST
Authorized Official Phone
(707) 423-3459

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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.
1013079334
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023071836
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 8 + 3 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1013079334 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013079334, enumerated in the NPI registry as an "organization" on December 14, 2006

The provider is located at 2569 Shorey Way Fairfield, Ca 94533 and the phone number is (707) 816-8622

This medical organization specializes in Military Hospital with taxonomy code 286500000X

This NPI record was last updated on December 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.